Provider Demographics
NPI:1619137510
Name:EKERNAS, KAREN BIRGIT (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:BIRGIT
Last Name:EKERNAS
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:BIRGIT
Other - Last Name:AST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:1375 E 19TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1114
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2909207P00000X
CO51732207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO023164OtherKAISER COMMERCIAL NUMBER
CO59435224Medicaid
CO419433YK5YMedicare PIN
CO023164OtherKAISER COMMERCIAL NUMBER