Individual
DR. ANDREA BETH KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 N GRAND AVE, SUITE 430, PUEBLO, CO 81003-2700
(719) 545-8240
(719) 545-4319
Mailing address
1600 N GRAND AVE, SUITE 430, PUEBLO, CO 81003-2700
(719) 545-8240
(719) 545-4319
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0038633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17706556
—
CO
Enumeration date
06/22/2006
Last updated
07/22/2024
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