Healthcare Provider Details

I. General information

NPI: 1831893767
Provider Name (Legal Business Name): ELISE VERA KAHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 E LOWRY BLVD STE 120
DENVER CO
80230-7255
US

IV. Provider business mailing address

8111 E LOWRY BLVD STE 120
DENVER CO
80230-7255
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0077540
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: