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NPI Code Detail

MEDICARE: KISORI THOMAS MA

MEDICARE:   KISORI  THOMAS  MA
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
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General Provider Information

NPI Number : 1619862455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KISORI THOMAS MA
Provider Business Mailing Address
First Line : 2630 N MADISON ST
Second Line :
City : DENVER
State : CO
Zip : 80205-5054
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2630 N MADISON ST
Second Line :
City : DENVER
State : CO
Zip : 80205-5054
Country : US
Telephone Number : 720-546-0674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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Directions to “ KISORI THOMAS MA” Practice Location

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