Provider Demographics
NPI:1477019867
Name:PRZYMUS, KARY
Entity Type:Individual
Prefix:
First Name:KARY
Middle Name:
Last Name:PRZYMUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 BROADLEAF LOOP
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3619
Mailing Address - Country:US
Mailing Address - Phone:620-728-9765
Mailing Address - Fax:
Practice Address - Street 1:2045 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5437
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1628994163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WU0100XNursing Service ProvidersRegistered NurseUrologyGroup - Single Specialty