Beresford, Kaea N

Beresford, Kaea N is an individual health care provider with primary practice located at 2695 Rocky Mountain Ave Suite 200, Loveland CO 80538-8702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Beresford, Kaea N can be contacted via phone (970) 493-7442.

Contact Information

Primary practice address
2695 Rocky Mountain Ave Suite 200 Loveland CO 80538-8702
Fax: (970) 493-2990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41244 Colorado

Profile Details

NPI number 1063499903
LBN Legal business name Beresford, Kaea N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 5th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063499903 NPPES
Colorado MEDICAID 02231786

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