Healthcare Provider Details

I. General information

NPI: 1750960233
Provider Name (Legal Business Name): KAILA ROESSING ANDERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 BRIARGATE PKWY STE 140
COLORADO SPRINGS CO
80920-7836
US

IV. Provider business mailing address

4110 BRIARGATE PKWY STE 140
COLORADO SPRINGS CO
80920-7836
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-7300
  • Fax: 719-365-7301
Mailing address:
  • Phone: 719-365-7300
  • Fax: 719-365-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0077636
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: