MEDICARE: DR. KRISTINELL KEIL MD

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	207VG0400X	Gynecology Physician	35161	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	:	1669414843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINELL KEIL MD

Provider Business Mailing Address
First Line	:	4500 E 9TH AVE
Second Line	:	SUITE 420
City	:	DENVER
State	:	CO
Zip	:	80220-3900
Country	:	US
Telephone Number	:	303-329-5822
Fax Number	:	303-329-7934

Provider Business Practice Location Address
First Line	:	4500 E 9TH AVE
Second Line	:	#420
City	:	DENVER
State	:	CO
Zip	:	80220-3931
Country	:	US
Telephone Number	:	303-329-5822
Fax Number	:	303-329-7934

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	10/07/2022

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