MEDICARE: DR. TIMOTHY RAY KUKLO M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	48576	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	:	1487672440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY RAY KUKLO M.D.

Provider Business Mailing Address
First Line	:	4900 S MONACO ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3487
Country	:	US
Telephone Number	:	303-563-2755
Fax Number	:	303-861-6219

Provider Business Practice Location Address
First Line	:	1601 E 19TH AVE STE 3800
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1252
Country	:	US
Telephone Number	:	303-563-2755
Fax Number	:	303-861-6219

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	02/09/2022

Similar Medicare Providers

1205087038 — DR. VANSTON O MASRI D.O.
Practice Location Address:

1601 E 19TH AVE STE 3600
DENVER, CO
80218-1252

Practice Phone: 720-515-2353
Practice Fax: 844-443-3968

1851762702 — MISS TAMARA DANIELSON SACHS PA-C
Practice Location Address:

1601 E 19TH AVE STE 3800
DENVER, CO
80218-1252

Practice Phone: 303-563-2755
Practice Fax: 303-861-6219

1881140143 — JAMES COLE ABRAMS, LLC
Practice Location Address:

1252 CORONA ST , APT 4
DENVER, CO
80218

Practice Phone: 720-432-5680
Practice Fax:

1871100529 — DR VANSTON MASRI PLLC
Practice Location Address:

1601 E 19TH AVE STE 3600
DENVER, CO
80218-1252

Practice Phone: 720-515-2353
Practice Fax: 720-815-2614

1619792314 — HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Practice Location Address:

1601 E 19TH AVE STE 3500
DENVER, CO
80218-1252

Practice Phone: 303-790-1515
Practice Fax:

1629963525 — CHERISHED EMPOWERMENT SERVICES
Practice Location Address:

1901 EUDORA ST
DENVER, CO
80220-1252

Practice Phone: 888-948-6789
Practice Fax: 877-345-3501

Directions to “ DR. TIMOTHY RAY KUKLO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.