Atk Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ATK MEDICINE LLC

Practice address

3465 N Pines Way Ste 105
Wilson, WY 83014-9128

Phone

(307) 355-1553

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ailis Tweed-Kent, MD

Title

Physician

Phone

(307) 355-1553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1457255242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830141168",
            "telephone_number": "307-355-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 N PINES WAY STE 105",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149128",
            "telephone_number": "307-355-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATK MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "TWEED-KENT",
        "authorized_official_first_name": "AILIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "307-355-1553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wilson, WY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.