Healthcare Provider Details

I. General information

NPI: 1215671219
Provider Name (Legal Business Name): ALEXANDRIA KOLENDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEX KOLENDA MD

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 S LEMAY AVE STE 100
FORT COLLINS CO
80524-3956
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 970-207-4857
  • Fax:
Mailing address:
  • Phone: 970-624-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0075304
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0009302
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: