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Individual

MS. ADRIENNE MARIE KANIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1430 S 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4225
(719) 633-1817
(719) 632-3940
Mailing address
1430 S 21ST STREET, SUITE 100, COLORADO SPRINGS, CO 80904-4225
(719) 633-1817
(719) 632-3940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31196
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01311968
CO
Enumeration date
11/14/2006
Last updated
07/08/2007
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