Kisicki, Daniel Ryan
Kisicki, Daniel Ryan is an sole proprietor health care provider with primary practice located at 4017 Rawlins St , Cheyenne WY 82001-1800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kisicki, Daniel Ryan can be contacted via phone (307) 635-2562.Contact Information
Primary practice address
4017 Rawlins St
Cheyenne WY 82001-1800
Phone: (307) 635-2562
Fax: (307) 638-2074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301092823 | Michigan |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 9010A | Wyoming |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9010A | Wyoming |
Profile Details
NPI number | 1902060833 |
---|---|
LBN Legal business name | Kisicki, Daniel Ryan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2008 |
Last updated | Oct 28th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902060833 | NPPES |
Wyoming | MEDICAID | 1902060833 |
Popular Providers
-
Johnson, James Vernon
2360 E Pershing Blvd , Cheyenne WY 82001-5356 -
Malm, Ronald Lee
820 East 17Th Street , Cheyenne WY 82001-4797 -
Medina, Jonathon Dominique
1950 Bluegrass Cir Ste 200 , Cheyenne WY 82009-7364 -
Bursten, Marian S
5050 Powderhouse Rd , Cheyenne WY 82009-4800 -
Brandes, Lisa Kae
820 East 17Th Street , Cheyenne WY 82001-4797 -
Leung, Karen Wan Sze
214 E 23Rd St , Cheyenne WY 82001-3748 -
Brown, Craig Stephon
421 E 17Th St , Cheyenne WY 82001-4609 -
Healey, John P.
820 E 17Th St , Cheyenne WY 82001-4714