NPI 1720049604 · Family Medicine · Kpic
NPPES
BROOMFIELD, 80020
Freshness: Stale (last updated 2021-08-20)
1,660 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
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.