Individual
HANS R KUISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 4TH ST, STE 202, BOULDER, CO 80304-3966
(800) 462-0975
Mailing address
PO BOX 7643, LOVELAND, CO 80537-0643
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227115
—
CO
01
—
P00250739
RAILROAD MEDICARE
CO
Enumeration date
06/09/2006
Last updated
10/19/2010
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