Provider Demographics
NPI:1811503741
Name:ALTITUDE KIDNEY HEALTH PLLC
Entity type:Organization
Organization Name:ALTITUDE KIDNEY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-500-3439
Mailing Address - Street 1:1260 S PARKER ROAD
Mailing Address - Street 2:STE 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8064
Mailing Address - Country:US
Mailing Address - Phone:720-500-3439
Mailing Address - Fax:720-500-3559
Practice Address - Street 1:730 SUMMIT BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5956
Practice Address - Country:US
Practice Address - Phone:970-668-1616
Practice Address - Fax:970-668-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty