MEDICARE: DR. KEVIN N BATTERBEE D.O.

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	5101013530	MI
2	2084P0800X	Psychiatry Physician	47335	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427112572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN N BATTERBEE D.O.

Provider Business Mailing Address
First Line	:	13255 HONEY RUN WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921
Country	:	US
Telephone Number	:	719-465-1178
Fax Number	:	719-358-7638

Provider Business Practice Location Address
First Line	:	2135 SOUTHGATE RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906
Country	:	US
Telephone Number	:	719-633-4114
Fax Number	:	719-633-5984

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	03/06/2009

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