Healthcare Provider Details

I. General information

NPI: 1184411977
Provider Name (Legal Business Name): ERIN KOBIELLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 ROSLYN ST UNIT 100
DENVER CO
80238-3324
US

IV. Provider business mailing address

3055 ROSLYN ST UNIT 100
DENVER CO
80238-3324
US

V. Phone/Fax

Practice location:
  • Phone: 720-553-2695
  • Fax:
Mailing address:
  • Phone: 720-553-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0010817
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: