Individual
DR. BRIAN J KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2429 35TH AVE, GREELEY, CO 80634-4171
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50704
CO
207Q00000X
Family Medicine Physician
52296
KY
207Q00000X
Family Medicine Physician
Primary
K2052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085HB
BCBS ID#
TX
01
—
024616
KASIER COMMERCIAL NUMBER
CO
01
—
080179674
RAILROAD MEDICARE ID#
TX
05
—
130895907
—
TX
05
—
42938368
—
CO
Enumeration date
06/08/2005
Last updated
12/16/2024
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