Provider Demographics
NPI:1780751578
Name:TOWNER, KEVIN E (CFA)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:E
Last Name:TOWNER
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632021
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80163-2021
Mailing Address - Country:US
Mailing Address - Phone:303-847-8422
Mailing Address - Fax:303-471-4456
Practice Address - Street 1:742 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80520
Practice Address - Country:US
Practice Address - Phone:303-877-8430
Practice Address - Fax:303-471-4456
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR90660246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant