Provider Demographics
NPI:1568495844
Name:KENNETH KAUVAR MD
Entity Type:Organization
Organization Name:KENNETH KAUVAR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-399-0150
Mailing Address - Street 1:1633 FILLMORE ST
Mailing Address - Street 2:STE 404
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1514
Mailing Address - Country:US
Mailing Address - Phone:303-399-0150
Mailing Address - Fax:303-399-0159
Practice Address - Street 1:1633 FILLMORE ST
Practice Address - Street 2:STE 404
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1514
Practice Address - Country:US
Practice Address - Phone:303-399-0150
Practice Address - Fax:303-399-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19847207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty