MEDICARE: DR. KENT R AIKIN 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	208M00000X	Hospitalist Physician	21642	CO
2	207R00000X	Internal Medicine Physician	0101-053016	VA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962485599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENT R AIKIN MD

Provider Business Mailing Address
First Line	:	1311 N MILDRED RD
Second Line	:
City	:	CORTEZ
State	:	CO
Zip	:	81321-2231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 N MILDRED RD
Second Line	:
City	:	CORTEZ
State	:	CO
Zip	:	81321-2231
Country	:	US
Telephone Number	:	970-564-2104
Fax Number	:	970-564-2134

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	03/22/2021

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