Kristine K Van Kirk, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

9074A Issued in WY

Practice address

6015 Sycamore Rd
Cheyenne, WY 82009-4347

Phone

(307) 823-2968

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 10, 2022 through May 10, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Physicians, Incorporated

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1275045049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1003078148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 SYCAMORE RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094347",
            "telephone_number": "307-823-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "KRISTINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WY",
            "license": "9074A",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WY",
            "license": "9074A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiechel Craig Valentine, PHARM.D
• Christian Valenzuela, FNP
• Cherry Ann Clemente Valino, M.D.
• Vamc Cheyenne
• John C Van Ginkel, DDS
• Alexandra Van Lancker
• Brianna Van Vranken
• Ruth Ann Van Vranken, PH.D
• Meagan Vanbuskirk
• Yuliya Victorovna Vaniurskaya, DDS

• Adult Medicine Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Adult Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.