Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A11399 | CA |
Y | 207P00000X | Emergency Physician | 52123 | CO |
NPI | 1003126541 |
---|---|
Provider Name | Keasha Nohelani Kuhnen |
First Address | Denver, CO 80291-2215 |
Second Address | Fort Collins, CO 80524-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2010 |
Last Update Date | 18/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07276761 | (05) | CO |