Healthcare Provider Details

I. General information

NPI: 1003218264
Provider Name (Legal Business Name): MS. KIRSTEN FELICE HARLOW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 125
COLORADO SPRINGS CO
80910-3117
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 719-365-1950
  • Fax: 719-365-1951
Mailing address:
  • Phone: 719-365-1950
  • Fax: 719-365-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0004473
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: