Healthy Lifestyle Medicine

LBN: Healthy Lifestyle Medicine
Healthy Lifestyle Medicine is an health care organization with primary practice located at 6015 Sycamore Rd , Cheyenne WY 82009-4347. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Healthy Lifestyle Medicine can be contacted via phone (307) 823-2968, or through Van Kirk, Kristine via phone (307) 823-2968.

Contact Information

Primary practice address
6015 Sycamore Rd Cheyenne WY 82009-4347
Phone: (307) 823-2968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Van Kirk, Kristine Doctor of Medicine (MD)
Phone: (307) 823-2968

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Obesity Medicine 2083B0002X

Profile Details

NPI number 1912478819
LBN Legal business name Healthy Lifestyle Medicine
DBA Doing business as
Authorized official Van Kirk, Kristine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2018
Last updated Dec 20th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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