MEDICARE: KENNETH KAUVAR 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	207W00000X	Ophthalmology Physician	19847	CO

General Provider Information

NPI Number	:	1568495844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNETH KAUVAR MD

Provider Business Mailing Address
First Line	:	1633 FILLMORE ST
Second Line	:	STE 404
City	:	DENVER
State	:	CO
Zip	:	80206-1514
Country	:	US
Telephone Number	:	303-399-0150
Fax Number	:	303-399-0159

Provider Business Practice Location Address
First Line	:	1633 FILLMORE ST
Second Line	:	STE 404
City	:	DENVER
State	:	CO
Zip	:	80206-1514
Country	:	US
Telephone Number	:	303-399-0150
Fax Number	:	303-399-0159

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KENNETH KAUVAR
Credential	:	MD
Telephone Number	:	303-399-0150

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	11/01/2007

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