Individual
KENNETH C. MANFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 S POTOMAC ST, ST 170, AURORA, CO 80012-5455
(303) 671-0808
(303) 671-0072
Mailing address
1550 S POTOMAC ST, ST 170, AURORA, CO 80012-5455
(303) 671-0808
(303) 671-0072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253210
—
CO
Enumeration date
07/20/2006
Last updated
02/08/2008
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