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Provider Information for 1003962614

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

KEVIN FRIEDMAN MD

Gender: MALE

Individual NPI: 1003962614

Calendar   Last Updated:  2020-11-18
  Certification Date:  2020-11-18

Details

Name Value
NPI 1003962614
Enumeration Date 2007-01-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
DENVER, CO 80262-0001
United States

Phone: 303-493-7000 | Fax:
View Map External Link
Primary Practice Address UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
DENVER, CO 80262-0001
United States

Phone: 303-493-7000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID CO 45818
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0202X - Pediatrics Pediatric Cardiology MA FF2575186
No 208000000X - Pediatrics CO 45818
No 390200000X - Student in an Organized Health Care Education/Training Program CO TL-1360