Individual
DR. KENT D HEYBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-9731
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-9731
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
28389
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283894
—
CO
Enumeration date
04/03/2006
Last updated
05/12/2024
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