Kincannon, Elizabeth A

Kincannon, Elizabeth A is an individual health care provider with primary practice located at 1375 E 20Th Ave , Denver CO 80205-5422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Kincannon, Elizabeth A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 20Th Ave Denver CO 80205-5422
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 23624 Colorado

Profile Details

NPI number 1639212194
LBN Legal business name Kincannon, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jun 11th, 2014 - about 11 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 1639212194 NPPES
Other 003457 KAISER-COMMERCIAL NUMBER
MEDICAID 01236249 KAISER-COMMERCIAL NUMBER

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