Individual
KYRSTEN D FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
499 E HAMPDEN AVE STE 420, ENGLEWOOD, CO 80113-2794
(303) 788-8888
(866) 896-1158
Mailing address
499 E HAMPDEN AVE STE 420, ENGLEWOOD, CO 80113-2794
(303) 788-8888
(866) 896-1158
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0052799
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25072234
—
CO
Enumeration date
04/25/2006
Last updated
10/31/2023
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