1215044649 NPI number — DR. DENISE A KOLBET MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215044649 NPI number — DR. DENISE A KOLBET MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

KOLBET

Provider First Name:

DENISE

Provider Middle Name:

A

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1215044649

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/01/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

280 EXEMPLA CIR

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

LAFAYETTE

Provider Business Mailing Address State Name:

CO

Provider Business Mailing Address Postal Code:

80026-3370

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

303-338-3800

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

280 EXEMPLA CIR

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

LAFAYETTE

Provider Business Practice Location Address State Name:

CO

Provider Business Practice Location Address Postal Code:

80026-3370

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

303-338-3800

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

08/23/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207N00000X , with the licence number:  21130 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207N00000X , with the licence number: 30365 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207N00000X , with the licence number: 47850 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 3141804 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 020189 . This is a "KAISER COMMERCIAL NUMBER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
• Identifier: 1141804 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 47068731720 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 2141804 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 47068731713 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 4141804 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 47068731778 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 47068731746 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 73909041 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".