Individual
KENNETH VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 WADSWORTH BLVD, LAKEWOOD, CO 80214-5708
(303) 234-0445
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34941
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01349414
—
CO
Enumeration date
09/03/2006
Last updated
10/22/2007
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