Individual
DR. KYLE D KUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
57.012341
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
DR.0047800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029187
KAISER COMMERCIAL NUMBER
CO
05
—
10025609200
—
NE
05
—
1598921462
—
WY
05
—
54076846
—
CO
Enumeration date
07/31/2008
Last updated
06/22/2021
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