Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independent Family Practice

Organization Family Medicine Physician · NPI 1477509651

Independent Family Practice provides Family Medicine Physician services in Thayne, Wyoming. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

122 Peterson Pkwy
Thayne, WY 83127
Phone: (307) 883-4437
Fax: (307) 883-4436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477509651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Kirk — Owner · (307) 883-4437
NPI enumeratedMay 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address122 Peterson Pkwy, Thayne, WY 83127

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