Healthcare Provider Details

I. General information

NPI: 1134575988
Provider Name (Legal Business Name): ERIN KIMBERLY MAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9051 SSG CHRIS FALKEL DR UNIT 130
HIGHLANDS RANCH CO
80129-3190
US

IV. Provider business mailing address

9051 SSG CHRIS FALKEL DR UNIT 130
HIGHLANDS RANCH CO
80129-3190
US

V. Phone/Fax

Practice location:
  • Phone: 720-213-4507
  • Fax: 720-516-0680
Mailing address:
  • Phone: 720-213-4507
  • Fax: 720-516-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0062162
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0062162
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: