Organization
KDDN, LLC
Active
Other names
Denver Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN DAVIS (PRACTICE ADMINISTRATOR)
(303) 777-8346
Entity
Organization
Contact information
Practice address
2696 S COLORADO BLVD STE 110, DENVER, CO 80222-5963
(303) 777-8346
(303) 777-8377
Mailing address
2696 S COLORADO BLVD STE 110, DENVER, CO 80222-5963
(303) 777-8346
(303) 777-8377
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736361
—
CO
Enumeration date
10/30/2018
Last updated
10/18/2021
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