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NPI Code Detail

MEDICARE: DR. KRIS DEXTER SIMON MD

MEDICARE: DR. KRIS DEXTER SIMON 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 PhysicianCDRH.0071583CO

General Provider Information

NPI Number : 1962151530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRIS DEXTER SIMON MD
Provider Business Mailing Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 970-820-3999
Fax Number :
Provider Business Practice Location Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 970-820-3999
Fax Number : 970-820-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 02/12/2026

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Directions to “ DR. KRIS DEXTER SIMON MD” Practice Location

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