Kevin Sheridan, DDS

NPI 1861558223 · on the registry since 2006

Practice

Address: 29 Black Coal Dr
Fort Washakie, WY 82514
Phone: (307) 332-7300
Organisation at this address: Eastern Shoshone Tribe
Eastern Shoshone Tribe
Wind River Health Center
Phs Indian Health Service
Wind River Service Unit Ihs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 1223D0001X
1223D0001X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming