Provider Demographics
NPI:1679687743
Name:DOBI, KEVIN JOSEPH (NP)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:JOSEPH
Last Name:DOBI
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:10678 KIPLING WAY
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3632
Mailing Address - Country:US
Mailing Address - Phone:303-485-3457
Mailing Address - Fax:720-494-7713
Practice Address - Street 1:500 COFFMAN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5451
Practice Address - Country:US
Practice Address - Phone:303-485-3457
Practice Address - Fax:720-494-7713
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO94062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health