# FAMILY MEDICINE AT CLEMENT PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144381419
- **Authorized official:** DR. KEVIN J. BOYLE M.D. (PHYSICIAN)
- **Authorized official phone:** (303) 932-2121

## Contact information

- **Practice address:** 6901 S PIERCE ST, SUITE 110, LITTLETON, CO 80128-4552
- **Practice address phone:** (303) 932-2121
- **Practice address fax:** (303) 948-6704
- **Mailing address:** 6901 S PIERCE ST, SUITE 110, LITTLETON, CO 80128-4552
- **Mailing address phone:** (303) 932-2121
- **Mailing address fax:** (303) 948-6704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 02/20/2008