Individual
DR. KEVIN P O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3260 E 104TH AVE, THORNTON, CO 80233-4406
(720) 929-8300
(720) 929-8444
Mailing address
6801 S YOSEMITE ST STE 180, CENTENNIAL, CO 80112-1411
(303) 773-9000
(303) 770-1449
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
42142
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873194
—
CO
01
—
1057406
UNITED HEALTHCARE
CO
01
—
26003329908
PACIFICARE
CO
05
—
62777076
—
CO
01
—
OBO68158
BLUE CROSS BLUE SHIELD
CO
Enumeration date
08/12/2006
Last updated
01/15/2010
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