NPI 1538895388

Kelsey Lynn Stafford, PAC

Practitioner Physician Assistant Riverton, WY

Practice location

Address: 115 Ramshorn Dr, Riverton, WY 82501-9360
Phone: (307) 630-1255

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1287 (WY)

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Registry record

NPI: 1538895388
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2022
Record last updated: 30 Oct 2024

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.