Conifer Pediatrics

NPI #1265929814 in Conifer, Colorado

Provider Information

NPI Number
1265929814
Entity Type
Organization
Organization Name
Conifer Pediatrics
Subpart
Yes (part of a larger organization)
Parent Organization
EVERGREEN PEDIATRICS LLC
Primary Specialty
Pediatrics
Enumeration Date
Apr 19, 2018
Last Updated
Apr 19, 2018

Practice Location

Address
26719 PLEASANT PARK RD UNIT 120
ZIP Code
80433-7753
Phone
(303) 838-7337

Authorized Official

Name
KENNETH JOHN KUTALEK, MD
Title
OWNER/PHYSICIAN
Phone
(303) 674-6671

Specialties & Taxonomy Codes

Specialty
Pediatrics

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