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Individual

MR. KENNETH L WEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 SOUTH CHERRY STREET, SUITE 1010, DENVER, CO 80246
(303) 771-0861
(303) 773-3402
Mailing address
950 SOUTH CHERRY STREET, SUITE 1010, DENVER, CO 80246
(303) 771-0861
(303) 773-3402

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
22051
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01220516
CO
Enumeration date
02/06/2007
Last updated
07/08/2007
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