| Kaiser Permanente Yosemite South Medical Offices | |
|
9695 S Yosemite St Ste 200 Lone Tree CO 80124-2888 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Kaiser Permanente Yosemite South Medical Offices |
|---|---|
| Speciality | Clinic/center |
| Location | 9695 S Yosemite St, Lone Tree, Colorado |
| Authorized Official Name and Position | Matthew J Splinter (CPMG CFO) |
| Authorized Official Contact | 3033447345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Yosemite South Medical Offices 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Kaiser Permanente Yosemite South Medical Offices 9695 S Yosemite St Ste 200 Lone Tree CO 80124-2888 Ph: (303) 338-4545 |
| NPI Number | 1962855221 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962855221 | NPI | - | NPPES |
| 04710083 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Primary |
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