Abbott, Kalen James
Abbott, Kalen James is an individual health care provider with primary practice located at 1501 S Potomac St , Aurora CO 80012-5411. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Abbott, Kalen James can be contacted via phone (303) 695-2628.Contact Information
Primary practice address
1501 S Potomac St
Aurora CO 80012-5411
Phone: (303) 695-2628
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0054866 | Colorado |
Profile Details
NPI number | 1174899314 |
---|---|
LBN Legal business name | Abbott, Kalen James |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2012 |
Last updated | Jul 9th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174899314 | NPPES |
Colorado | MEDICAID | 63658704 |
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