KELLY GEBAUER


Address: 17284 Anna Loop, Cheyenne, WY 82009-3264
Phone: 6512705436

KELLY GEBAUER (NPI# 1356964464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356964464
Entity Type Individual
Full Name KELLY GEBAUER
Practice Address 17284 Anna Loop
Cheyenne
WY 82009-3264
Practice Telephone 6512705436
Mailing Telephone 6512705436
Enumeration Date 2020-05-22
Last Update Date 2020-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
22963 WY Nursing Service Providers

Office Location

Street Address 17284 ANNA LOOP
City CHEYENNE
State WY
Zip Code 82009-3264

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1659840841 King & Associates LLC Private Vehicle 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 2018-11-16
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1306380696 Alexandra Gill Social Worker 3304 East 1-80 Service Rd., Cheyenne, WY 82009 2016-12-06
1104213859 Jennifer Schwartz Specialist 2601 Plain View Rd, Cheyenne, WY 82009 2015-04-21
1861830465 Tyler Boyd Dentist 7209 Commons Cir Unit A, Cheyenne, WY 82009 2013-06-05
1639513351 Gene E Darnell Pharmacist 3702 Del Range Blvd, Cheyenne, WY 82009 2013-04-24
1376891952 Robert R Kanard Internal Medicine 714 Edward Dr, Cheyenne, WY 82009 2012-08-29
1639443336 Jennifer Alam Case Manager/Care Coordinator 3304 E. I80 Service Rd, Cheyenne, WY 82009 2012-02-28
1376815357 Christina Kay Brown Licensed Practical Nurse 3304 E I80 Service Rd, Cheyenne, WY 82009 2012-02-06
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Taxonomy Information

Taxonomy Code 163WW0101X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Women's Health Care, Ambulatory

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457990533 Kylee Ann Thormahlen Registered Nurse 31 W 3rd St S, Cowley, WY 82420-5056 2020-01-06
1629195631 Erin Beck Registered Nurse 1522 E A St, Casper, WY 82601-2217 2007-03-23

Competitor

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City CHEYENNE
Zip Code 82009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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