Healthcare Provider Details

I. General information

NPI: 1336615970
Provider Name (Legal Business Name): ALPINE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE STE 505
DENVER CO
80209-5030
US

IV. Provider business mailing address

3955 E EXPOSITION AVE STE 505
DENVER CO
80209-5030
US

V. Phone/Fax

Practice location:
  • Phone: 720-519-0678
  • Fax: 720-638-3968
Mailing address:
  • Phone: 720-519-0678
  • Fax: 720-638-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY KESTEN
Title or Position: MD
Credential: MD
Phone: 720-519-0678