Burgwin, Kellen Hill

Burgwin, Kellen Hill is an individual health care provider with primary practice located at 2950 E Harmony Rd Ste 190 , Fort Collins CO 80528-3430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burgwin, Kellen Hill can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2950 E Harmony Rd Ste 190 Fort Collins CO 80528-3430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101254413 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0060243 Colorado

Profile Details

NPI number 1851652754
LBN Legal business name Burgwin, Kellen Hill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851652754 NPPES
Colorado MEDICAID 9000165344
Colorado Other 028827

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