Organization
KAVANAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY WAYNE FRIEDER OVS MD (OVERSEER)
(303) 355-7783
Entity
Organization
Contact information
Practice address
1660 S ALBION ST, SUITE 309, DENVER, CO 80222-4008
(303) 355-7783
(303) 355-7784
Mailing address
KAVANAH C/O NON-DOMESTIC, 820 S MONACO PKWY, #293, DENVER, CO 80224
(303) 355-7783
(303) 355-7784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29005
CO
Other
Enumeration date
08/11/2006
Last updated
07/21/2022
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