Individual
KRISTINE KNUTI RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-5112
Mailing address
777 BANNOCK ST # 0108, DENVER, CO 80204-4507
(303) 602-5112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46792
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1766
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48703281
—
CO
Enumeration date
01/26/2007
Last updated
03/30/2021
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