Gotaas, Kenneth A

Gotaas, Kenneth A is an individual health care provider with primary practice located at 10101 Ridgegate Pkwy , Lone Tree CO 80124-5522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Gotaas, Kenneth A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10101 Ridgegate Pkwy Lone Tree CO 80124-5522
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 38725 Colorado

Profile Details

NPI number 1316933161
LBN Legal business name Gotaas, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 17th, 2021 - about 4 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 1316933161 NPPES
Colorado MEDICAID 29133033
Colorado Other 012773

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