Organization
KIDS ARE GREAT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANDRESS (PRACTICE MANAGER)
(719) 577-4200
Entity
Organization
Contact information
Practice address
320 E FONTANERO ST, SUITE 308, COLORADO SPRINGS, CO 80907-7529
(719) 577-4200
(719) 442-6595
Mailing address
320 E FONTANERO ST, SUITE 308, COLORADO SPRINGS, CO 80907-7529
(719) 577-4200
(719) 442-6595
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0022379
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66353785
—
CO
Enumeration date
09/15/2016
Last updated
09/15/2016
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