Healthcare Provider Details

I. General information

NPI: 1669414843
Provider Name (Legal Business Name): KRISTINELL KEIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE #420
DENVER CO
80220-3931
US

IV. Provider business mailing address

4500 E 9TH AVE SUITE 420
DENVER CO
80220-3900
US

V. Phone/Fax

Practice location:
  • Phone: 303-329-5822
  • Fax: 303-329-7934
Mailing address:
  • Phone: 303-329-5822
  • Fax: 303-329-7934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35161
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: