Individual
TAMARA L KUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
(720) 536-7555
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
(720) 536-7555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010579
KAISER COMMERCIAL
CO
05
—
01361013
—
CO
Enumeration date
02/27/2007
Last updated
04/07/2021
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