Healthcare Provider Details

I. General information

NPI: 1881864775
Provider Name (Legal Business Name): BRENDA K KLUHERZ FPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 OGDEN ST 230
DENVER CO
80218-3666
US

IV. Provider business mailing address

1960 OGDEN ST 230
DENVER CO
80218-3666
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3540
  • Fax: 303-318-2482
Mailing address:
  • Phone: 303-318-3540
  • Fax: 303-318-2482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number83796
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: