Individual provider · NPI-1
Amanda Joyce Kinley, MD
Family Medicine · Fort Washakie, WY
NPI number1831718642
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1831718642
- Entity type
- Individual (NPI-1)
- Name
- Amanda Joyce Kinley
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2020
- Certification date
- Oct 23, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61415435 | WA | Yes |
Practice location
29 Black Coal DriveFort Washakie, WY 82514
Phone 307-332-7300
Mailing address
Po Box 250Lander, WY 82520-0250
Phone 307-690-7682
Other practice locations
400 S 15th St
Worland, WY 82401-3531
Worland, WY 82401-3531
Phone 307-347-3221
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