| Dmkmd Pc | |
|
1740h Dell Range Blvd Suite 206 Cheyenne WY 82009-4946 | |
| (307) 630-0970 | |
| Not Available |
| Full Name | Dmkmd Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740h Dell Range Blvd, Cheyenne, Wyoming |
| Authorized Official Name and Position | David M Kilpatrick (MD OWNER) |
| Authorized Official Contact | 3076354359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmkmd Pc Po Box 2476 Cheyenne WY 82003-2476 Ph: (307) 638-0300 | Dmkmd Pc 1740h Dell Range Blvd Suite 206 Cheyenne WY 82009-4946 Ph: (307) 630-0970 |
| NPI Number | 1841566478 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 9032372990 |
|---|---|
| Medicare Enrollment ID | O20120514000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841566478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 5427A (Wyoming) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 24493 (Colorado) | Secondary |
| Provider Name | David M Kilpatrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124088554 PECOS PAC ID: 8325233950 Enrollment ID: I20120515000709 |
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