Individual
DR. THOMAS PAUL KASENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 E 29TH ST, LOVELAND, CO 80538-2743
(970) 669-6000
(970) 669-6002
Mailing address
295 E 29TH ST, LOVELAND, CO 80538-2743
(970) 669-6000
(970) 669-6002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23248
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232487
—
CO
01
—
841328898005
ROCKY MOUNTAIN HEALTH PLA
—
01
—
84132889801
PACIFICARE
—
01
—
84132889802
PACIFICARE
—
Enumeration date
05/10/2006
Last updated
03/12/2008
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