Healthcare Provider Details

I. General information

NPI: 1326950817
Provider Name (Legal Business Name): THOMAS HUGH KINNEVY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S ACOMA ST UNIT 203
DENVER CO
80223-3675
US

IV. Provider business mailing address

1501 S ACOMA ST UNIT 203
DENVER CO
80223-3675
US

V. Phone/Fax

Practice location:
  • Phone: 720-601-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: