OrganizationActive
Kodiak Anesthesia PC
NPI 1710087689 · Anesthesiology Physician · Casper, WY
Provider details
- NPI number
- 1710087689
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Chynoweth, MD(307) 473-8173
- License
- 7192A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
111 W 2nd St
Suite 415
Casper, WY 82601-2454
Phone: (307) 237-5848
Fax: (307) 237-5848
Approximate (ZIP-level) locationGet directions
Mailing address
4850 Chinook Trl
Casper, WY 82604-5201
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.