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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL RYAN KISICKI, MD

Active Sole Proprietor

Family Medicine · CHEYENNE, WY

Registration Details

NPI Number
1902060833
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2008 (17.793754093835 yrs)
Last Updated
Oct 28, 2022
Licenses
4301092823 (MI)
9010A (WY)
9010A (WY)
Sole Proprietor
Yes

Practice Information

Address
4017 RAWLINS ST
CHEYENNE, WY, 820011800
Browse WY providers · Browse ZIP 82001
Phone
3076352562
Fax
3076382074
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Sports Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in CHEYENNE, WY

Name Credential NPI
DR. GERGANA PATROVA POPOVA-ORAHOVATS MD 1467435420
DR. MARIAN S BURSTEN MD PHD 1710942339
MRS. TAMARA O. COTTAM M.D. 1164488185
DR. JOHN HURST BABSON PH.D., MD 1427016179
DR. DOUGLAS W EDGREN MD 1033145164
CLAIRE H REED M.D. 1366474850
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.