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Individual

DR. KURT F PAPENFUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
602 N 6TH STREET WEST, CHEYENNE WELLS, CO 80810-0578
(719) 767-5669
(719) 767-8042
Mailing address
PO BOX 578, CHEYENNE WELLS, CO 80810-0578
(719) 767-5669
(719) 767-8042

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CO28294
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01282946
CO
01
CO28294
COLORADO LICENSE
CO
01
VAH2004
BCBS PROVIDER
CO
Enumeration date
03/25/2007
Last updated
01/06/2014
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