Provider Demographics
NPI:1073108684
Name:ALTITUDE KIDNEY HEALTH PLLC
Entity Type:Organization
Organization Name:ALTITUDE KIDNEY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-500-3439
Mailing Address - Street 1:1260 S PARKER ROAD
Mailing Address - Street 2:STE 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8064
Mailing Address - Country:US
Mailing Address - Phone:720-500-3439
Mailing Address - Fax:855-712-9183
Practice Address - Street 1:10099 RIDGEGATE PARKWAY
Practice Address - Street 2:SUITE 120
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5532
Practice Address - Country:US
Practice Address - Phone:720-500-3439
Practice Address - Fax:855-712-9183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty