Provider Demographics
NPI:1922390251
Name:LIVINGSTON, KEVIN DAVID (DO)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:DAVID
Last Name:LIVINGSTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1305 ESCALANTE DRIVE
Mailing Address - Street 2:#205
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303
Mailing Address - Country:US
Mailing Address - Phone:970-259-1971
Mailing Address - Fax:970-259-4036
Practice Address - Street 1:1305 ESCALANTE DRIVE
Practice Address - Street 2:#205
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303
Practice Address - Country:US
Practice Address - Phone:970-259-1971
Practice Address - Fax:970-259-4036
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2023-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO54230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine