Healthcare Provider Details

I. General information

NPI: 1558569384
Provider Name (Legal Business Name): KYLE CLAYTON AKERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CIRCLE DR COLORADO SPRINGS UTILITIES SAFETY & HEALTH DEPT.
COLORADO SPRINGS CO
80909-5121
US

IV. Provider business mailing address

5265 CHAMPAGNE DR
COLORADO SPRINGS CO
80919-3525
US

V. Phone/Fax

Practice location:
  • Phone: 719-668-7365
  • Fax:
Mailing address:
  • Phone: 866-475-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number26608
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: