Healthcare Provider Details

I. General information

NPI: 1811503741
Provider Name (Legal Business Name): ALTITUDE KIDNEY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SUMMIT BLVD SUITE 101
FRISCO CO
80443-5956
US

IV. Provider business mailing address

1260 S PARKER ROAD STE 202
DENVER CO
80231-8064
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-1616
  • Fax: 970-668-5650
Mailing address:
  • Phone: 720-500-3439
  • Fax: 720-500-3559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KELSEY NICOLE PARRISH
Title or Position: PRACTICE MANAGER
Credential:
Phone: 720-500-3439