MEDICARE: DR. SCOTT ARTHUR KONO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	46803	CO
2	207RH0003X	Hematology & Oncology Physician	DR.0046803	CO
3	207RX0202X	Medical Oncology Physician	DR.0046803	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	023121	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184671067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ARTHUR KONO DO

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 COOK ST STE 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5328
Country	:	US
Telephone Number	:	720-848-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/14/2020

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