Kelly E Christensen M.D.

NPI 1063401933 - Family Medicine - 207Q00000X

NPI Details
NPI 1063401933
Gender Male
Enumeration Date 10/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
450 MOUNTAIN VIEW ST
POWELL WY, 82435-2212, US
Phone (307) 754-7257
Fax (307) 754-7217
Business Location
449 MOUNTAIN VIEW ST
POWELL WY, 82435-2232, US
Phone (307) 754-4559
Fax (307) 754-7733
Toxanomy
Taxonomy Code 207Q00000X
License State Wyoming
License Number 5717A
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According to our database, Kelly E Christensen M.D. NPI is 1063401933, taxonomy code is 207Q00000X and license number is 5717A, license state is located at Wyoming. Kelly E Christensen M.D. physically located at 450 Mountain View St, Powell WY, 82435-2212. NPI Number Kelly E Christensen M.D. has the Individual type.

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1063401933 NPI number is provided on an as is basis without warranty of any kind. 1063401933 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly E Christensen M.D. are for informational purposes only.