NPI 1134660038

Marchel Kelley

Organisation Preferred Provider Organization Buffalo, WY

Practice location

Address: 5 N Wyoming Ave, Buffalo, WY 82834-2014
Phone: (307) 620-1821

Authorised official

Name: Ann M Kelley
Title: Fsp
Phone: (307) 620-1821

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Wyoming →

Registry record

NPI: 1134660038
Entity type: Organization
NPI issued: 13 Mar 2017
Record last updated: 13 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.