Provider Demographics
NPI:1669145413
Name:KLEIN, ALLISON (FNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 COLORADO BLVD UNIT 160
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6803
Mailing Address - Country:US
Mailing Address - Phone:303-689-5160
Mailing Address - Fax:
Practice Address - Street 1:8350 COLORADO BLVD UNIT 160
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6803
Practice Address - Country:US
Practice Address - Phone:303-689-5160
Practice Address - Fax:303-689-5175
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996824-NP207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine