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NPI Code Detail

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF COLORADO

MEDICARE: KAISER FOUNDATION HEALTH PLAN OF COLORADO
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
13336M0003XManaged Care Organization Pharmacy1680000044CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12142473OTHERPK

General Provider Information

NPI Number : 1770911729
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER FOUNDATION HEALTH PLAN OF COLORADO
Provider Business Mailing Address
First Line : 10240 PARK MEADOWS DR
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5425
Country : US
Telephone Number : 303-649-5550
Fax Number : 303-649-5565
Provider Business Practice Location Address
First Line : 10240 PARK MEADOW DR
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5425
Country : US
Telephone Number : 303-649-5550
Fax Number : 303-649-5565
Authorized Official
Title or Position : AREAS ADMINISTRATOR, PHARMACY
Name : DENESE CLARK
Credential :
Telephone Number : 303-326-6717
Provider Enumeration Date : 10/29/2013
Last Update Date : 12/31/2025

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1306274378 — KAISER FOUNDATION HEALTH PLAN OF COLORADO
Practice Location Address:
10240 PARK MEADOWS DR
LONE TREE, CO
80124-5425
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1346822509 — DR. JUSTIN KENNETH METLI DPM, MA
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1043248263 — MICHAEL WILLIAM BARNES PAC
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1396740858 — DR. MICHAEL THOMAS NAPIERKOWSKI M.D.
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Practice Fax:
1861498479 — DR. LEONID G LIPTSEN M.D.
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1750373536 — DR. CHARLES E GIARRATANA MD
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Directions to “KAISER FOUNDATION HEALTH PLAN OF COLORADO ” Practice Location

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