Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN KINGDOM, PA-C
ActiveELLEN KINGDOM, PA-C is a Physician Assistant healthcare provider located in CHEYENNE, Wyoming. NPI 1508480542 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHEYENNE, WY
Registration Details
- NPI Number
- 1508480542
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2020 (6.2076636442101 yrs)
- Last Updated
- Dec 4, 2020
- Licenses
-
PA.0006279 (CO)PT909 (WY)
Practice Information
- Address
-
2301 HOUSE AVE STE 502CHEYENNE, WY, 820013179Browse WY providers · Browse ZIP 82001
- Phone
- 3076354131
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHEYENNE, WY
| Name | Credential | NPI |
|---|---|---|
| ERIC DONALD OTTENBACHER | PA | 1952308967 |
| PATRICK MCKEON LUCAS | PAC | 1497737787 |
| COREY LYNN ERNST | PA C | 1083697064 |
| MS. JOANN BOURLIER-CHILDRESS | PAC | 1063491892 |
| ARTHUR J FARRELL | PAC | 1609849199 |
| CHRISTOPHER PAUL MORGAN | PAC | 1700800299 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.