Provider Demographics
NPI:1265418438
Name:CUEVAS, KEVIN HERBERT (MD)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:HERBERT
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4745 ARAPAHOE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1080
Mailing Address - Country:US
Mailing Address - Phone:303-444-3000
Mailing Address - Fax:303-444-3226
Practice Address - Street 1:4745 ARAPAHOE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1080
Practice Address - Country:US
Practice Address - Phone:303-444-3000
Practice Address - Fax:303-444-3226
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR 38346207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO96509236Medicaid
COC467148Medicare PIN
CO467158Medicare ID - Type Unspecified
G49724Medicare UPIN