Bouzarelos, Kirk George

Bouzarelos, Kirk George is an individual health care provider with primary practice located at 9094 E Mineral Cir Suite 120, Centennial CO 80112-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bouzarelos, Kirk George can be contacted via phone (303) 779-5437.

Contact Information

Primary practice address
9094 E Mineral Cir Suite 120 Centennial CO 80112-7200
Fax: (303) 689-9628
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37233 Colorado

Profile Details

NPI number 1194787150
LBN Legal business name Bouzarelos, Kirk George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194787150 NPPES
Colorado MEDICAID O1372333

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