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NPI Code Detail

MEDICARE: KENT K. HORIUCHI MD

MEDICARE:   KENT K. HORIUCHI  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
1207Q00000XFamily Medicine PhysicianDR.0039897CO

General Provider Information

NPI Number : 1477548097
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT K. HORIUCHI MD
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 719-463-5600
Fax Number :
Provider Business Practice Location Address
First Line : 7550 W YALE AVE BLDG B
Second Line :
City : DENVER
State : CO
Zip : 80227-3465
Country : US
Telephone Number : 303-935-4689
Fax Number : 303-935-3829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 08/16/2024

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Directions to “ KENT K. HORIUCHI MD” Practice Location

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