Healthcare Provider Details

I. General information

NPI: 1700691706
Provider Name (Legal Business Name): THE VEIN CONNOISSEURS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 KIMBARK ST
LONGMONT CO
80501-4913
US

IV. Provider business mailing address

828 KIMBARK ST
LONGMONT CO
80501-4913
US

V. Phone/Fax

Practice location:
  • Phone: 720-818-5578
  • Fax: 800-810-1449
Mailing address:
  • Phone: 720-818-5578
  • Fax: 800-810-1449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: KRYSTLE M WEEKS
Title or Position: OWNER
Credential: CPT
Phone: 720-818-5578