| Laramie Pediatrics Internal Medicine | |
|
1252 North 22nd St Ste B Laramie WY 82072 | |
| (307) 745-3704 | |
| (307) 745-7237 |
| Full Name | Laramie Pediatrics Internal Medicine |
|---|---|
| Speciality | Pediatrics |
| Location | 1252 North 22nd St, Laramie, Wyoming |
| Authorized Official Name and Position | Kent Myron Kleppinger (MD) |
| Authorized Official Contact | 3077453704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laramie Pediatrics Internal Medicine 1252 North 22nd St Ste B Laramie WY 82072 Ph: (307) 745-3704 | Laramie Pediatrics Internal Medicine 1252 North 22nd St Ste B Laramie WY 82072 Ph: (307) 745-3704 |
| NPI Number | 1336215441 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 6901821966 |
|---|---|
| Medicare Enrollment ID | O20051008000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336215441 | NPI | - | NPPES |
| 124413200 | Medicaid | WY |
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