Provider Demographics
NPI:1336615970
Name:ALPINE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:ALPINE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KESTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-519-0678
Mailing Address - Street 1:3955 E EXPOSITION AVE STE 505
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5030
Mailing Address - Country:US
Mailing Address - Phone:720-519-0678
Mailing Address - Fax:720-638-3968
Practice Address - Street 1:3955 E EXPOSITION AVE STE 505
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5030
Practice Address - Country:US
Practice Address - Phone:720-519-0678
Practice Address - Fax:720-638-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1124107909OtherINDIVIDUAL NPI