Provider Demographics
NPI:1558026245
Name:PEAK INTEGRATED HEALTH PC
Entity Type:Organization
Organization Name:PEAK INTEGRATED HEALTH PC
Other - Org Name:PEAK VITALITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR / CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLAMS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:720-504-8007
Mailing Address - Street 1:1536 COLE BLVD STE 335
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3413
Mailing Address - Country:US
Mailing Address - Phone:720-504-8007
Mailing Address - Fax:
Practice Address - Street 1:1536 COLE BLVD STE 335
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3413
Practice Address - Country:US
Practice Address - Phone:720-504-8007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty