Individual
MARY K JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5423
(303) 764-4665
Mailing address
1244 W 111TH PL, NORTHGLENN, CO 80234-3393
(303) 280-5505
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
95823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012343
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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