MEDICARE: DR. KEITH A NAFTULIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	472	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437152550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH A NAFTULIN DPM

Provider Business Mailing Address
First Line	:	6169 S BALSAM WAY
Second Line	:	STE 290
City	:	LITTLETON
State	:	CO
Zip	:	80123-3087
Country	:	US
Telephone Number	:	303-932-7957
Fax Number	:	303-933-8271

Provider Business Practice Location Address
First Line	:	6169 S BALSAM WAY
Second Line	:	STE 290
City	:	LITTLETON
State	:	CO
Zip	:	80123-3087
Country	:	US
Telephone Number	:	303-932-7957
Fax Number	:	303-933-8271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/23/2013

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