Individual
DR. KENNETH HOOPER WEISIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14062 DENVER WEST PKWY BLDG 52, STE 150, LAKEWOOD, CO 80401-3187
(719) 457-6200
(303) 825-7927
Mailing address
14062 DENVER WEST PKWY BLDG 52, STE 150, LAKEWOOD, CO 80401-3187
(719) 457-6200
(303) 825-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22327
CO
207RP1001X
Pulmonary Disease Physician
Primary
22327
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DR.0022327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223270
—
CO
01
—
C305318
MEDICARE PTAN
CO
Enumeration date
03/28/2006
Last updated
06/09/2020
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