Healthcare Provider Details

I. General information

NPI: 1346514163
Provider Name (Legal Business Name): EMILY KRISTEN BURNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 INTEGRITY CENTER PT
COLORADO SPRINGS CO
80917-1683
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 719-591-2558
  • Fax: 719-591-2596
Mailing address:
  • Phone: 970-624-4451
  • Fax: 970-490-4199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberDR.0044855
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: