Individual
KANAO OTSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
51382
CO
208000000X
Pediatrics Physician
221184
MA
2080P0201X
Pediatric Allergy/Immunology Physician
51382
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21927863
—
CO
Enumeration date
01/23/2007
Last updated
02/23/2021
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