Healthy Lifestyle Medicine

NPI #1912478819 in Cheyenne, Wyoming

Provider Information

NPI Number
1912478819
Entity Type
Organization
Organization Name
Healthy Lifestyle Medicine
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Dec 17, 2018
Last Updated
Dec 20, 2018

Practice Location

Address
6015 SYCAMORE RD
State
Wyoming
ZIP Code
82009-4347
Phone
(307) 823-2968

Authorized Official

Name
KRISTINE VAN KIRK, MD
Title
OWNER/PROVIDER
Phone
(307) 823-2968

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Obesity MedicineObesity Medicine
Family Medicine - Adult MedicineAdult Medicine

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