Provider Demographics
NPI:1952666422
Name:WATKINS, KIRIGIN ELSTAD (MD)
Entity Type:Individual
Prefix:
First Name:KIRIGIN
Middle Name:ELSTAD
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 HEALTH PARK DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9757
Mailing Address - Country:US
Mailing Address - Phone:303-439-8910
Mailing Address - Fax:303-439-9134
Practice Address - Street 1:90 HEALTH PARK DR
Practice Address - Street 2:SUITE 290
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9757
Practice Address - Country:US
Practice Address - Phone:303-439-8910
Practice Address - Fax:303-439-9134
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0052938207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology