Individual
KEITH KAPATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 PRO RODEO DR STE 100, COLORADO SPRINGS, CO 80919-2334
(719) 522-0707
(719) 262-9495
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(719) 633-4613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0061666
CO
207RN0300X
Nephrology Physician
MD56380
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067672100
—
FL
Enumeration date
06/24/2005
Last updated
05/16/2019
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