Healthcare Provider Details

I. General information

NPI: 1295729549
Provider Name (Legal Business Name): KAREN M REPINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W MINERAL AVE STE 100
LITTLETON CO
80120-5612
US

IV. Provider business mailing address

1501 W MINERAL AVE STE 100
LITTLETON CO
80120-5612
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-0404
  • Fax: 303-730-6163
Mailing address:
  • Phone: 303-730-0404
  • Fax: 303-730-6163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number30803
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: