Healthcare Provider Details

I. General information

NPI: 1376859322
Provider Name (Legal Business Name): LARAMIE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1252 N 22ND ST UNIT A
LARAMIE WY
82072-5306
US

IV. Provider business mailing address

1252 N 22ND ST UNIT B
LARAMIE WY
82072-5306
US

V. Phone/Fax

Practice location:
  • Phone: 307-460-2305
  • Fax:
Mailing address:
  • Phone: 307-745-3704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KENT M KLEPPINGER
Title or Position: OWNER
Credential: MD
Phone: 307-745-3704