Healthcare Provider Details

I. General information

NPI: 1548451727
Provider Name (Legal Business Name): MARY KRISTEN LOWRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY KRISTEN JESSE MD

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S COLORADO BLVD
DENVER CO
80222-7900
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10029237
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number51283
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number51283
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number51283
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: