Individual
REBECCA GOGEL KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, MC 1914, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 1914, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0054969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1196340
MEDICARE PTAN
ID
Enumeration date
07/05/2007
Last updated
09/16/2015
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