MEDICARE: DR. KIRK ANDERSON MD

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	2084P0800X	Psychiatry Physician	35713	CO

General Provider Information

NPI Number	:	1205050143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK ANDERSON MD

Provider Business Mailing Address
First Line	:	3545 SOUTH TAMARAC DR STE #370
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237
Country	:	US
Telephone Number	:	720-488-5580
Fax Number	:	303-694-1274

Provider Business Practice Location Address
First Line	:	3545 S TAMARAC DR STE 370
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1432
Country	:	US
Telephone Number	:	720-488-5580
Fax Number	:	303-694-1274

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. KIRK ANDERSON MD” Practice Location

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