Physician Management Services of Wyoming, LLC

NPI #1093421869 in Cheyenne, Wyoming

Provider Information

NPI Number: 1093421869
Entity Type: Organization
Organization Name: Physician Management Services of Wyoming, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Jan 25, 2023
Last Updated: Sep 4, 2025

Practice Location

Address: 1331 PRAIRIE AVE STE 2
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4867
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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