Organization Name: | KIDS CARENOW |
NPI Number: | 1043465651 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL FISHER (ADMINSTRATOR/OWNER) |
Mailing Address: | 8671 S. Quebec St. #110 Highlands Ranch |
State: | CO US |
Postal Code: | 80129 |
Phone Number: | 3038703214 |
Fax Number: | 3037343977 |
NPI Enumeration Date: | 11/24/2008 |
NPI Last Update Date: | 11/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |