| Kids Are Great Pediatrics | |
|
320 E Fontanero St Suite 308 Colorado Springs CO 80907-7529 | |
| (719) 577-4200 | |
| (719) 442-6595 |
| Full Name | Kids Are Great Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 320 E Fontanero St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Melanie Andress (PRACTICE MANAGER) |
| Authorized Official Contact | 7195774200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Are Great Pediatrics 320 E Fontanero St Suite 308 Colorado Springs CO 80907-7529 Ph: (719) 577-4200 | Kids Are Great Pediatrics 320 E Fontanero St Suite 308 Colorado Springs CO 80907-7529 Ph: (719) 577-4200 |
| NPI Number | 1013465327 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013465327 | NPI | - | NPPES |
| 66353785 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0022379 (Colorado) | Primary |
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