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NPI Code Detail

MEDICARE: DR. BETHANY MENSINK D.O.

MEDICARE:  DR. BETHANY  MENSINK  D.O.
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
1208600000XSurgery Physician329266LA
2208600000XSurgery PhysicianDR.0071993CO
3208600000XSurgery Physician5101025326MI

General Provider Information

NPI Number : 1497106637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETHANY MENSINK D.O.
Provider Business Mailing Address
First Line : PO BOX 800022
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-0022
Country : US
Telephone Number : 800-953-0104
Fax Number : 303-765-6670
Provider Business Practice Location Address
First Line : 2030 MOUNTAIN VIEW AVE STE 200
Second Line :
City : LONGMONT
State : CO
Zip : 80501-3180
Country : US
Telephone Number : 720-652-8444
Fax Number : 720-652-8445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 01/29/2026

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Directions to “ DR. BETHANY MENSINK D.O.” Practice Location

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