Provider Demographics
NPI:1669414843
Name:KEIL, KRISTINELL (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINELL
Middle Name:
Last Name:KEIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4500 E 9TH AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3900
Mailing Address - Country:US
Mailing Address - Phone:303-329-5822
Mailing Address - Fax:303-329-7934
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:#420
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3931
Practice Address - Country:US
Practice Address - Phone:303-329-5822
Practice Address - Fax:303-329-7934
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35161207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01351618Medicaid
G38380Medicare UPIN