Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 58776 | CO |
NPI | 1003105636 |
---|---|
Provider Name | James C. Higham-Kessler |
First Address | Lakewood, CO 80227-5122 |
Second Address | Thornton, CO 80229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 29/06/2017 |