Healthcare Provider Details

I. General information

NPI: 1356090963
Provider Name (Legal Business Name): KODY MARK ARMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 AUTOMATION WAY STE 103
FORT COLLINS CO
80525-5738
US

IV. Provider business mailing address

3702 AUTOMATION WAY STE 103
FORT COLLINS CO
80525-5738
US

V. Phone/Fax

Practice location:
  • Phone: 877-701-2985
  • Fax:
Mailing address:
  • Phone: 877-701-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0077038
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: