Provider Demographics
NPI:1952488140
Name:HEINZE, KEVIN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:JAMES
Last Name:HEINZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14000 E ARAPAHOE RD
Mailing Address - Street 2:SUITE 390
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4043
Mailing Address - Country:US
Mailing Address - Phone:303-632-3600
Mailing Address - Fax:303-632-3606
Practice Address - Street 1:14000 E ARAPAHOE RD
Practice Address - Street 2:SUITE 390
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4043
Practice Address - Country:US
Practice Address - Phone:303-632-3600
Practice Address - Fax:303-632-3606
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCO33571207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
841333153OtherUNITED HEALTHCARE
841333153OtherBLUE CROSS BLUE SHIELD
841333153OtherHUMANA
CO84133315302OtherPACIFICARE ID
COCOA106374OtherMEDICARE PTAN
CO4660703OtherAETNA
CO8411333153001OtherROCKY MOUNTAIN HEALTHPLAN
841333153OtherCIGNA
CO01335710Medicaid
841333153OtherGREAT WEST
841333153OtherHUMANA