Healthcare Provider Details

I. General information

NPI: 1104272392
Provider Name (Legal Business Name): DR. KAREN KUENNING OD & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 E ARAPAHOE RD STE 250
GREENWOOD VLG CO
80112-3698
US

IV. Provider business mailing address

9600 E ARAPAHOE RD STE 250
GREENWOOD VLG CO
80112-3698
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-3937
  • Fax:
Mailing address:
  • Phone: 720-500-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1279
License Number StateCO

VIII. Authorized Official

Name: KAREN KUENNING
Title or Position: PRESIDENT
Credential: O.D.
Phone: 303-363-1486