Engelking, Kerry G

Engelking, Kerry G is an sole proprietor health care provider with primary practice located at 10240 W Poison Spider Rd , Casper WY 82604-9556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Engelking, Kerry G can be contacted via phone (307) 277-5502.

Contact Information

Primary practice address
10240 W Poison Spider Rd Casper WY 82604-9556
Phone: (307) 277-5502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3569A Wyoming

Profile Details

NPI number 1942395686
LBN Legal business name Engelking, Kerry G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Oct 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942395686 NPPES
Wyoming Other 307121 BLUE SHIELD
Wyoming Other 104206801 BLUE SHIELD
Wyoming Other 050037998 BLUE SHIELD
Wyoming MEDICAID 104206800 BLUE SHIELD

Popular Providers