NPI 1679567499

Evan Earle Kelley, MSPTOCS

Practitioner Specialist Cheyenne, WY

Practice location

Address: 6900 Alden Dr, Cheyenne, WY 82005-3906
Phone: (307) 773-3406

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 11277 (MA)

Other Specialist providers in Wyoming →

Registry record

NPI: 1679567499
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2005
Record last updated: 5 Dec 2007

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.