Provider Demographics
NPI:1851425466
Name:KDJH ASSOCIATED, LLC
Entity Type:Organization
Organization Name:KDJH ASSOCIATED, LLC
Other - Org Name:LONE TREE FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-649-1253
Mailing Address - Street 1:9224 TEDDY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6799
Mailing Address - Country:US
Mailing Address - Phone:303-649-1253
Mailing Address - Fax:303-708-1395
Practice Address - Street 1:9224 TEDDY LN STE 100
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6799
Practice Address - Country:US
Practice Address - Phone:303-649-1253
Practice Address - Fax:303-708-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty