IndividualActive
Richard Kinder, PA-C
NPI 1679803530 · Medical Physician Assistant · Medicine Bow, WY
Provider details
- NPI number
- 1679803530
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 279 (WY)
Practice location
514 Idaho Dr
Medicine Bow, WY 82329-5017
Phone: (307) 379-2222
Fax: (307) 379-2223
Mailing address
Po Box 37
Medicine Bow, WY 82329-0037
Registry dates
- Enumerated
- 2009-12-28
- Last updated
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.