ELLEN KINGDOM, PA-C

Physician Assistant

Active Individual
NPI: 1508480542

Practice Address

2301 HOUSE AVE STE 502
Cheyenne, WY 82001

Phone: (307) 635-4131

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PT909 (WY)

Frequently Asked Questions

NPI 1508480542 is the National Provider Identifier for ELLEN KINGDOM, PA-C, a Physician Assistant provider located in Cheyenne, WY. This NPI was enumerated on June 5, 2020.
ELLEN KINGDOM, PA-C practices at 2301 HOUSE AVE STE 502, Cheyenne, WY 82001.

Quick Facts

NPI
1508480542
Type
Individual
Enumerated
Jun 5, 2020
Last Updated
Dec 4, 2020

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