Individual
KORY LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 996-9296
Mailing address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 996-9296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0007485
CO
363AM0700X
Medical Physician Assistant
Primary
PA770
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150165800
—
WY
05
—
9000174296
—
CO
Enumeration date
02/04/2015
Last updated
11/08/2023
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