Kieft, Larry D
Kieft, Larry D is an individual health care provider with primary practice located at 1136 E Stuart St Ste 2100, Fort Collins CO 80525-1197. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kieft, Larry D can be contacted via phone (970) 493-5904.Contact Information
Primary practice address
1136 E Stuart St Ste 2100
Fort Collins CO 80525-1197
Phone: (970) 493-5904
Fax: (970) 493-5973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 21392 | Colorado |
Profile Details
| NPI number | 1184627218 |
|---|---|
| LBN Legal business name | Kieft, Larry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 21st, 2011 - about 13 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 | 1184627218 | NPPES |
| Colorado | MEDICAID | 01213925 |
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