Individual
KILSAN KOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 ALPINE AVE, SUITE 210, BOULDER, CO 80304-3406
(303) 443-1008
(303) 417-1111
Mailing address
1000 ALPINE AVE, SUITE 210, BOULDER, CO 80304-3406
(303) 443-1008
(303) 417-1111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29339
CO
208600000X
Surgery Physician
G87774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O1293398
—
CO
Enumeration date
09/16/2006
Last updated
12/15/2010
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