Healthcare Provider Details
I. General information
NPI: 1881441780
Provider Name (Legal Business Name): MOUNTAIN VIEW OBGYN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2024
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6285 LEHMAN DR STE 200
COLORADO SPRINGS CO
80918-1498
US
IV. Provider business mailing address
6285 LEHMAN DR STE 200
COLORADO SPRINGS CO
80918-1498
US
V. Phone/Fax
- Phone: 719-260-7050
- Fax:
- Phone: 719-260-7050
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARINA
J
KEE
Title or Position: PHYSICIAN
Credential: DO
Phone: 303-884-3588