NPI 1417099490 · Family Medicine · Kpic
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
GOLDEN, 80403
Freshness: Stale (last updated 2016-01-25)
3,694 days since update
Network Status
Listed with 2 carriers
DORA License
No license data
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Limited carrier network presence
2 networks across 1 carrier
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.