Doctor Name: | KRISTINE KNUTI RODRIGUES |
NPI Number: | 1013063791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TL-1766 |
Business Practice Address: | 660 Bannock St Mail Code 1914 Denver, CO - 802044506 |
Business Phone Number: | 3034367479 |
Business Fax Number: | 3034365772 |
Mailing Address: | 660 Bannock St, Mail Code 1914 DENVER |
State: | CO |
Postal Code: | 802044506 |
Phone Number: | 3034367479 |
Fax Number: | 3034365772 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-1766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |