Kent L Shippen
ADVANCED DERMATOLOGY OF WYOMING, INC


Address: 5647 Us Hwy 26, Dubois, WY 82513-9607
Phone: 3077345864

Kent L Shippen (NPI# 1942379003, PAC ID# 1557657673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1942379003
PAC ID by PECOS 1557657673
Professional Enrollment ID I20160915000840
Full Name Kent L Shippen
Organization Legal Name ADVANCED DERMATOLOGY OF WYOMING, INC
Address 5647 Us Hwy 26
Dubois
WY 82513-9607
Phone Number 3077345864
Gender M
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7517253750
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
530015 ST JOHNS MEDICAL CENTER

Other Locations

Address Phone Organization
47 Doc Perkes, Afton, WY 83110-7703 3077345864 ADVANCED DERMATOLOGY OF WYOMING, INC
5647 Us Hwy 26, Dubois, WY 82513-9607 3077345864 ADVANCED DERMATOLOGY OF WYOMING, INC

Organization Information

Organization Legal Name ADVANCED DERMATOLOGY OF WYOMING, INC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Christian B Anderson Dermatology Advanced Dermatology of Wyoming, Inc 62 S Redmond St, Jackson, WY 83002
Bruce W Kornfeld Dermatology Advanced Dermatology of Wyoming, Inc 255 N 30th St, Laramie, WY 82072-5140
James Garris Morgan Dermatology Advanced Dermatology of Wyoming, Inc 5647 Us Hwy 26, Dubois, WY 82513-9607

Office Location

Street Address 5647 US HWY 26
City DUBOIS
State WY
Zip 82513-9607

Physicians in the same location

Name Specialty Organization Address
Wesley O Morris Physician Assistant Community Health Center of Central Wyoming Inc 5647 Us Hwy 26, Dubois, WY 82513-9607
James Garris Morgan Dermatology Advanced Dermatology of Wyoming, Inc 5647 Us Hwy 26, Dubois, WY 82513-9607
Lisa S. Rose Nurse Practitioner Community Health Center of Central Wyoming Inc 5647 Us Hwy 26, Dubois, WY 82513-9607
Vaughn M Morgan Family Medicine Community Health Center of Central Wyoming Inc 5647 Us Hwy 26, Dubois, WY 82513-9607

Physicians in the same zip code

Name Specialty Organization Address
Brian John Ballard Optometry 1203 W Ramshorn Dr, Dubois, WY 82513
Margaret Zeiss Physical Therapy 1403 W Ramshorn, Dubois, WY 82513-1403
Tracy Lee Baum Nurse Practitioner 1428 Warm Springs Dr, Dubois, WY 82513-9760

Competitor

Search similar physicians

City DUBOIS
Zip Code 82513
Specialty PHYSICIAN ASSISTANT
City + Specialty DUBOIS + PHYSICIAN ASSISTANT

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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