Healthcare Provider Details

I. General information

NPI: 1609664044
Provider Name (Legal Business Name): JUN KIM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 ALBROOK DR
DENVER CO
80239-4604
US

IV. Provider business mailing address

12600 ALBROOK DR
DENVER CO
80239-4604
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4000
  • Fax:
Mailing address:
  • Phone:
  • 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.0010937
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: