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NPI Code Detail

MEDICARE: KALSANG CHODON MS, PPC

MEDICARE: KALSANG CHODON MS, PPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPPC-502WY

General Provider Information

NPI Number : 1952628232
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALSANG CHODON MS, PPC
Provider Business Mailing Address
First Line : 748 MAIN ST
Second Line :
City : LANDER
State : WY
Zip : 82520-3036
Country : US
Telephone Number : 307-332-2231
Fax Number : 307-332-9338
Provider Business Practice Location Address
First Line : 748 MAIN ST
Second Line :
City : LANDER
State : WY
Zip : 82520-3036
Country : US
Telephone Number : 307-332-2231
Fax Number : 307-332-9338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2010
Last Update Date : 04/27/2010

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