Colvin, Karen W.
Colvin, Karen W. is an individual health care provider with primary practice located at 125 W Palmer Lake Dr , Pueblo West CO 81007-2876. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Colvin, Karen W. can be contacted via phone (719) 547-8803.Contact Information
Primary practice address
125 W Palmer Lake Dr
Pueblo West CO 81007-2876
Phone: (719) 547-8803
Fax: (719) 547-8806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 34666 | Colorado |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 34666 | Colorado |
Profile Details
| NPI number | 1144511445 |
|---|---|
| LBN Legal business name | Colvin, Karen W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Nov 28th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144511445 | NPPES |
| Colorado | MEDICAID | 9000151800 | |
| Colorado | MEDICAID | 80986226 |
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