Provider Demographics
NPI:1578742540
Name:BREITENSTEIN, KURT (MS, L AC)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:BREITENSTEIN
Suffix:
Gender:M
Credentials:MS, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3134
Mailing Address - Country:US
Mailing Address - Phone:303-744-2110
Mailing Address - Fax:303-733-6199
Practice Address - Street 1:1711 S PEARL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3134
Practice Address - Country:US
Practice Address - Phone:303-744-2110
Practice Address - Fax:303-733-6199
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO346171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist