NPI 1265087993
Pony Express Pediatrics, LLC
Practice location
- Address
- 1307 Crook Ave, Cheyenne, WY 82001-5412
- Phone
- (321) 313-3595
- Mailing address
- 2076 Painted Sky Rd, Cheyenne, WY 82009-9196
Authorised official
- Name
- Christa Jayleen Kovachevich
- Title
- Owner/Aprn Cpnp-Pc
- Phone
- (321) 313-3595
Registered specialties
Pediatric Nurse Practitioner
Primary
Registry record
- NPI
- 1265087993
- Entity type
- Organization
- NPI issued
- 8 Aug 2019
- Record last updated
- 8 Aug 2019
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.