Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 42142 | CO |
NPI | 1134131733 |
---|---|
Provider Name | Dr. Kevin P O'brien |
First Address | Centennial, CO 80112-1411 |
Second Address | Thornton, CO 80233-4406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 15/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0873194 | (05) | CO |
1057406 | UNITED HEALTHCARE (01) | CO |
26003329908 | PACIFICARE (01) | CO |
62777076 | (05) | CO |
F51790 | (02) | CO |
OBO68158 | BLUE CROSS BLUE SHIELD (01) | CO |