Healthcare Provider Details

I. General information

NPI: 1629367685
Provider Name (Legal Business Name): KEVIN MICHAEL PIPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N MARION ST
DENVER CO
80218-1121
US

IV. Provider business mailing address

3519 RICHMOND DR
FORT COLLINS CO
80526-5995
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-7770
  • Fax: 303-860-7775
Mailing address:
  • Phone: 970-204-0300
  • Fax: 970-226-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number51666
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: