Individual
DR. JONATHAN M KUSUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE STE B, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46775
CO
2084P0804X
Child & Adolescent Psychiatry Physician
46775
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026837
KAISER COMMERCIAL NUMBER
CO
05
—
54625092
—
CO
Enumeration date
01/26/2007
Last updated
05/28/2021
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