KYLIE A BROUGH (NPI# 1881996254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881996254 |
| Entity Type | Individual |
| Full Name | KYLIE A BROUGH |
| Credential | PAC |
| Practice Address |
1950 Bluegrass Cir Suite 170 Cheyenne WY 82009-7323 |
| Practice Telephone | 3077782860 |
| Practice Fax Number | 3077782860 |
| Mailing Telephone | 3077782860 |
| Mailing Fax Number | 3077782860 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TL506 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1950 BLUEGRASS CIR SUITE 170 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-7323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386603553 | Judson Howard Cook | Neurological Surgery | 1950 Bluegrass Cir, Ste 170, Cheyenne, WY 82009 | 2006-03-17 |
| 1982003463 | Jessica Annette Britton | Massage Therapist | 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009-7323 | 2014-08-20 |
| 1245670231 | Bodybalance | Chiropractor | 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009-7363 | 2013-07-05 |
| 1376891226 | Sunflower Kaste | Nurse Practitioner | 1950 Bluegrass Cir, Suite 200, Cheyenne, WY 82009-7323 | 2012-08-27 |
| 1730407495 | Wyoming Spine & Neurosurgery | Neurological Surgery | 1950 Bluegrass Cir, Suite 170, Cheyenne, WY 82009-7323 | 2010-05-05 |
| 1295976322 | Wyoming Neuromonitoring, LLC | Rehabilitation Practitioner | 1950 Bluegrass Cir, Suite170, Cheyenne, WY 82009-7323 | 2009-03-19 |
| 1750521969 | Wyoming Neuromonitoring, LLC | Durable Medical Equipment & Medical Supplies | 1950 Bluegrass Cir, 170, Cheyenne, WY 82009-7323 | 2009-02-27 |
| 1902060833 | Daniel Ryan Kisicki | Family Medicine | 1950 Bluegrass Cir, Suite 200, Cheyenne, WY 82009-7323 | 2008-07-10 |
| 1114106283 | Leslie M. Valente | Physical Therapist | 1950 Bluegrass Cir, Suite 110, Cheyenne, WY 82009-7323 | 2007-10-25 |
| 1720296130 | Wyoming Spine and Neurosurgery LLC | Neurological Surgery | 1950 Bluegrass Cir, Ste 170, Cheyenne, WY 82009-7323 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 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 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1578993671 | Jessica Henry | Physician Assistant | 4140 Laramie St, Cheyenne, WY 82001-1969 | 2013-11-26 |
| 1982942132 | Molly E Means | Physician Assistant | 7124 Commons Dr C, Cheyenne, WY 82009-2620 | 2013-01-23 |
| 1710279757 | Michael Jason Sprosty | Physician Assistant | 4600 Powderhouse Rd, Cheyenne, WY 82009-7324 | 2011-05-10 |
| 1053554402 | Paul J Jacquay | Physician Assistant | 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007-2559 | 2009-04-15 |
| 1073795365 | Lori Ann Meadors | Physician Assistant | 2301 House Ave Ste 201, Cheyenne, WY 82001-3177 | 2007-11-29 |
| 1114007028 | Michael D Scott | Physician Assistant | 4136b Laramie Street, Cheyenne, WY 82001-1969 | 2006-10-16 |
| 1982713764 | Julie C Whitesell | Physician Assistant | 7124 Commons Dr Unit C, Cheyenne, WY 82009-2620 | 2006-08-29 |
| 1720003189 | Lynda Dianne Bentley | Physician Assistant | 101 Fk Buster Ave, Cheyenne, OK 73628 | 2006-07-13 |
| Find all providers in CHEYENNE | ||||
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| 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.