Individual
DR. KEVIN K MOTAMEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
52260
TN
207Y00000X
Otolaryngology Physician
Primary
DR.0056154
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026839
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/26/2010
Last updated
05/12/2022
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