Thanavaro, Kristin L
Thanavaro, Kristin L is an sole proprietor health care provider with primary practice located at 11700 W 2Nd Pl Suite 350, Lakewood CO 80228-1704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Thanavaro, Kristin L can be contacted via phone (303) 595-2727.Contact Information
Primary practice address
11700 W 2Nd Pl Suite 350
Lakewood CO 80228-1704
Phone: (303) 595-2727
Fax: (303) 595-2727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0053810 | Colorado |
Profile Details
| NPI number | 1487813721 |
|---|---|
| LBN Legal business name | Thanavaro, Kristin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Feb 11th, 2015 - about 9 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 | 1487813721 | NPPES |
| Colorado | MEDICAID | 31489273 |
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