| Colorado Family Clinic | |
|
4990 Kipling St Ste B6 Wheat Ridge CO 80033-6762 | |
| (303) 456-4882 | |
| (303) 456-4875 |
| Full Name | Colorado Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4990 Kipling St Ste B6, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Andrew Valentin Solano (OWNER) |
| Authorized Official Contact | 3034564882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Family Clinic 4990 Kipling St Ste B6 Wheat Ridge CO 80033-6762 Ph: (303) 456-4882 | Colorado Family Clinic 4990 Kipling St Ste B6 Wheat Ridge CO 80033-6762 Ph: (303) 456-4882 |
| NPI Number | 1952800187 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 02/02/2018 |
| Medicare PECOS PAC ID | 4789911207 |
|---|---|
| Medicare Enrollment ID | O20190807000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952800187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CO3083 (Colorado) | Primary |
| Provider Name | Kevin V Lindell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982899985 PECOS PAC ID: 4880741842 Enrollment ID: I20090408000160 |
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