Individual
DR. KAVANYA FEUSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 402-7914
Mailing address
10099 RIDGEGATE PKWY STE 200, LONE TREE, CO 80124-5532
(720) 875-2880
(720) 875-2877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL.0008726
CO
208D00000X
General Practice Physician
0069107
CO
208D00000X
General Practice Physician
Primary
DR.0069107
CO
Other
Enumeration date
03/25/2021
Last updated
11/16/2022
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