| Organization Name: | KAISER PERMANENTE |
| NPI Number: | 1376964197 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH J DELK (REGISTERED NURSE) |
| Mailing Address: | 10240 Park Meadows Drive Lonetree |
| State: | CO US |
| Postal Code: | 80124 |
| Phone Number: | 3036495623 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2013 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 163WP2201X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |