NPI 1780149948

Bryan Kenneth Tipton, PACMPAS

Practitioner Physician Assistant Powell, WY

Practice location

Address: 777 Avenue H, Powell, WY 82435-2260
Phone: (307) 754-7257
Fax: (307) 754-7217

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA827 (WY)

Other Physician Assistant providers in Wyoming →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PT827 (WY)

Registry record

NPI: 1780149948
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2019
Record last updated: 25 May 2022

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.