Healthcare Provider Details

I. General information

NPI: 1316302870
Provider Name (Legal Business Name): KEVIN CULVER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 S LINCOLN ST STE 10
LITTLETON CO
80122-2725
US

IV. Provider business mailing address

8000 S LINCOLN ST STE 10
LITTLETON CO
80122-2725
US

V. Phone/Fax

Practice location:
  • Phone: 720-319-7614
  • Fax: 772-675-9100
Mailing address:
  • Phone: 720-319-7614
  • Fax: 772-675-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: