Individual
DR. ELIZABETH A KINCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
23624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003457
KAISER-COMMERCIAL NUMBER
—
05
—
01236249
—
CO
Enumeration date
02/15/2007
Last updated
06/11/2014
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