Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 48464 | CO |
NPI | 1023061975 |
---|---|
Provider Name | Dr. Kenneth A. Ramey |
First Address | Parker, CO 80134-1434 |
Second Address | Parker, CO 80134-9498 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 30/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G34624 | (02) |