Individual
DR. KEVIN KENDALL BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
51270
CO
207Y00000X
Otolaryngology Physician
GFE76870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022674
KAISER COMMERCIAL NUMBER
CO
05
—
22675558
—
CO
Enumeration date
01/25/2006
Last updated
06/07/2021
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