Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MICHAEL MOSTEK BSN (RN)
(303) 861-3614
Entity
Organization
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3614
Mailing address
1235 S CHESTER CT, DENVER, CO 80247-2356
(303) 317-6658
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
165844
CO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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