Healthcare Provider Details

I. General information

NPI: 1568924850
Provider Name (Legal Business Name): CARRIE KEFFLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 E LOWRY BLVD
DENVER CO
80230-7196
US

IV. Provider business mailing address

8101 E LOWRY BLVD
DENVER CO
80230-7196
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8593
  • Fax:
Mailing address:
  • Phone: 303-825-8593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0068964
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: