NPI 1548663024 · Physician · Kpic
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
WHEAT RIDGE, 80033
Freshness: Unknown
Network Status
Listed with 2 carriers
DORA License
No license data
Medicare
Non-Medicare specialty
Care Compare
No Care Compare data
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
No DORA license data found
No Medicare billing · No electronic endpoint · No PECOS enrollment
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.