Healthcare Provider Details

I. General information

NPI: 1811982788
Provider Name (Legal Business Name): JONATHAN A KARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15240 W 64TH AVE
ARVADA CO
80007-7511
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 303-463-7181
  • Fax: 303-463-7182
Mailing address:
  • Phone: 970-624-4127
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38831
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36078
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: