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Christan Kostelecky

NPI 1629208376 · on the registry since 2009

Practice

Address
4606 N College Dr
Cheyenne, WY 82009
Phone
(307) 414-8394
Fax
(307) 316-8125
Organisation at this address
Emg Cheyenne Sh Llc
Lsref Golden Ops 14 (Wy) Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 4010 N College Dr, Cheyenne, WY

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming