Individual
DR. KELLEN HILL BURGWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 E HARMONY RD STE 190, FORT COLLINS, CO 80528-3430
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101254413
VA
207Q00000X
Family Medicine Physician
Primary
DR.0060243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028827
KAISER COMMERCIAL NUMBER
CO
05
—
9000165344
—
CO
Enumeration date
06/06/2012
Last updated
06/11/2021
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