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NPI Profile for Dr KRISTINE K VAN KIRK in CHEYENNE, WY.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Obesity Medicine |
2083B0002X | 84 | Physician/Preventive Medicine |
| NPI # | 1003078148 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/30/2008 | |
| Last updated | 01/03/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KRISTINE K VAN KIRK
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KRISTINE K VAN KIRK, MD