Vanier, Kathleen

Vanier, Kathleen is an individual health care provider with primary practice located at 625 E Broadway Ave Bldg B , Jackson WY 83001-8642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vanier, Kathleen can be contacted via phone (307) 739-7450.

Contact Information

Primary practice address
625 E Broadway Ave Bldg B Jackson WY 83001-8642
Fax: (307) 739-7344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A77195 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13781A Wyoming

Profile Details

NPI number 1790719011
LBN Legal business name Vanier, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790719011 NPPES
Wyoming MEDICAID 2122987000

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