Individual
DR. JAN MALLOY KENNAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E 19TH AVE, SUITE 5300, DENVER, CO 80218-1216
(303) 839-7440
(303) 839-7210
Mailing address
1601 E 19TH AVE, SUITE 5300, DENVER, CO 80218-1216
(303) 839-7440
(303) 839-7210
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1256502
—
CO
Enumeration date
07/20/2006
Last updated
07/08/2007
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