Whalio Doctors

NPI 1538195417

Kitchener Paul Head, MD

Practitioner Family Medicine Physician Afton, WY

Practice location

Address
110 Hospital Lane, Afton, WY 83110
Phone
(307) 885-5852
Mailing address
PO Box 579, Afton, WY 83110-0579

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4302A (WY)

Registry record

NPI
1538195417
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jun 2006
Record last updated
29 Sep 2010

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.