Individual
DR. KEVIN TRACY MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
2525 S DOWNING ST, PORTER ADVENTIST HOSPITAL, DENVER, CO 80210-5817
(303) 778-5666
(303) 778-5787
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40450040
—
CO
01
—
P00472353
RR MEDICARE
CO
Enumeration date
06/08/2006
Last updated
04/23/2009
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