Provider Demographics
NPI:1972631372
Name:KRAFCHICK, DANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:KRAFCHICK
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 1:9000 E NICHOLS AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3406
Mailing Address - Country:US
Mailing Address - Phone:303-799-4110
Mailing Address - Fax:303-662-8365
Practice Address - Street 1:6851 S HOLLY CIR STE 260
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1050
Practice Address - Country:US
Practice Address - Phone:303-799-4110
Practice Address - Fax:303-662-8365
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO309752084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry