Provider Demographics
NPI:1851437925
Name:KINDER, PAMELA ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ROSE
Last Name:KINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:R
Other - Last Name:ASKEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4350 LIMELIGHT AVE.
Mailing Address - Street 2:SUITE #250
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109
Mailing Address - Country:US
Mailing Address - Phone:303-840-5051
Mailing Address - Fax:303-840-5058
Practice Address - Street 1:4350 LIMELIGHT AVE.
Practice Address - Street 2:SUITE #250
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109
Practice Address - Country:US
Practice Address - Phone:303-840-5051
Practice Address - Fax:303-840-5058
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO345072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01345073Medicaid
CO01345073Medicaid
COCU9728Medicare PIN