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NPI Code Detail

MEDICARE: DR. KERI ANN HOBERT M.D.

MEDICARE: DR. KERI ANN HOBERT M.D.
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
1207Q00000XFamily Medicine PhysicianMD2005-0310NM
2207Q00000XFamily Medicine PhysicianDR.0057718CO

General Provider Information

NPI Number : 1659377521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERI ANN HOBERT M.D.
Provider Business Mailing Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-312-9978
Fax Number : 303-293-3977
Provider Business Practice Location Address
First Line : 2130 STOUT ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2827
Country : US
Telephone Number : 303-293-2220
Fax Number : 303-293-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/21/2022

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