OrganizationActive
Kodiak Anesthesia PC
NPI 1295138972 · Anesthesiology Physician · Casper, WY
Provider details
- NPI number
- 1295138972
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Chynoweth, President(307) 473-8173
- License
- 7192A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4850 Chinook Trl
Casper, WY 82604-5201
Phone: (307) 473-8173
Approximate (ZIP-level) locationGet directions
Mailing address
4850 Chinook Trl
Casper, WY 82604-5201
Other names (DBA / former)
- Doing business as
- Matthew D.chynoweth
- Doing business as
- Matthew D.chynoweth
Additional practice locations (1)
- 111 W 2nd St#415Casper, WY 82601-2454Phone: (307) 237-5848
Registry dates
- Enumerated
- 2014-10-08
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.