Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | DR.0055567 | CO |
Y | 111NI0900X | Internist | DR.0055567 | CO |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 55567 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | 55567 | CO |
NPI | 1366741829 |
---|---|
Provider Name | Kelsey M Flint |
First Address | Denver, CO 80220-5913 |
Second Address | Aurora, CO 80045-7211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55567 | COLORADO STATE MEDICAL LICENSE (01) | CO |