KID WILK PA-C MS
NPI 1982069076
Physician Assistant in Rock Springs, WY

Q: What is Kid Wilk's NPI number?

The NPI number for Kid Wilk is 1982069076. It was assigned to this individual provider in the NPPES registry on December 16, 2015. The provider is also known as Ryan Wilk Pa-C Ms.

Q: What is Kid Wilk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kid Wilk was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2015

2620 COMMERCIAL WAY STE 140, ROCK SPRINGS, WY 82901(435) 755-6061(307) 448-2984 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2018, Dec 16, 2015 (2 updates tracked since 2015).

On this page

About Kid Wilk Pa-c Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KID WILK PA-C MS (NPI 1982069076) is an individual physician assistant in Rock Springs, Wyoming, licensed in Wyoming (PA658) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1982069076

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKID WILKCredential: PA-C MS

Location Address2620 COMMERCIAL WAY STE 140Rock Springs, WY 82901-4750

Mailing Address1515 N 400 E Ste 104North Logan, UT 84341-7595 · (435) 755-6061 · Fax (435) 994-8362

Phone(435) 755-6061

Fax(307) 448-2984

Sole ProprietorNo

Enumeration DateDecember 16, 2015

Last NPPES UpdateApril 16, 20182 updates tracked since enumeration

✔ NPI 1982069076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WY · PA658

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2620 COMMERCIAL WAY STE 140, Rock Springs, WY 82901

Open in Google Maps ↗

Other Names 1

Professional Name (2)Ryan Wilk Pa-c Ms

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WHITTEN LCSW

Social Worker (Clinical)