IndividualActive
Calvin Schenk, PA
NPI 1609323302 · Medical Physician Assistant · Jackson, WY
Provider details
- NPI number
- 1609323302
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PT701 (WY)
Practice location
555 E Broadway Ave
Suite 201
Jackson, WY 83001-8640
Phone: (307) 733-7222
Fax: (307) 733-9720
Mailing address
Po Box 428
Jackson, WY 83001-0428
Registry dates
- Enumerated
- 2016-09-09
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.