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NPI 1679567499

IndividualActive

Evan Kelley, MSPT, OCS

NPI 1679567499 · Specialist · Cheyenne, WY

Provider details

NPI number: 1679567499
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: MSPT, OCS
Sex: Male
Sole proprietor: No
License: 11277 (MA)

Practice location

6900 Alden Dr

Cheyenne, WY 82005-3906

Phone: (307) 773-3406

More WY providers

Mailing address

6900 Alden Dr

Cheyenne, WY 82005-3906

Registry dates

Enumerated: 2005-09-08
Last updated: 2007-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Evan Kelley, MSPT, OCS — NPI 1679567499, Cheyenne, WY | NPI Central