Fairbanks, Kyrsten D
Fairbanks, Kyrsten D is an individual health care provider with primary practice located at 499 E Hampden Ave Ste 420 , Englewood CO 80113-2794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Fairbanks, Kyrsten D can be contacted via phone (303) 788-8888.Contact Information
Primary practice address
499 E Hampden Ave Ste 420
Englewood CO 80113-2794
Phone: (303) 788-8888
Fax: (866) 896-1158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0052799 | Colorado |
Profile Details
| NPI number | 1457317638 |
|---|---|
| LBN Legal business name | Fairbanks, Kyrsten D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Oct 31st, 2023 - about 2 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 | 1457317638 | NPPES |
| Colorado | MEDICAID | 25072234 |
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