Kennedy, Damon Mark
Kennedy, Damon Mark is an individual health care provider with primary practice located at 2500 Rocky Mountain Ave Ste 100, Loveland CO 80538-9004. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kennedy, Damon Mark can be contacted via phone (970) 624-1800.Contact Information
Primary practice address
2500 Rocky Mountain Ave Ste 100
Loveland CO 80538-9004
Phone: (970) 624-1800
Fax: (970) 624-1891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | DR.0047892 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 10460A | Wyoming |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | L2368 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 47892 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 47892 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR.0047892 | Colorado |
Profile Details
| NPI number | 1992733224 |
|---|---|
| LBN Legal business name | Kennedy, Damon Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 6th, 2017 - about 7 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 | 1992733224 | NPPES |
| Colorado | MEDICAID | 68856750 | |
| Colorado | MEDICAID | 10025839700 |
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