Organization
KCOR LLC
Active
Other names
Kidney Care of the Rockies
Organization subpart
No
Provider details
NPI number
Authorized official
VARSHA PATHAK (MD)
(970) 212-5367
Entity
Organization
Contact information
Practice address
300 BOARDWALK DR UNIT 3B, FORT COLLINS, CO 80525-3093
(970) 212-5367
(970) 212-5435
Mailing address
300 BOARDWALK DR UNIT 3B, FORT COLLINS, CO 80525-3093
(970) 212-5367
(970) 212-5435
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000249165
—
CO
Enumeration date
08/06/2025
Last updated
11/27/2025
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