Individual
MARK T. KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 398-1528
(303) 270-2174
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35087429
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
46559
CO
207RP1001X
Pulmonary Disease Physician
46559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23008555
—
CO
Enumeration date
05/26/2006
Last updated
02/22/2013
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