Klarisana Physician Services Pllc

NPI #1902418965 in Thornton, Colorado

Provider Information

NPI Number: 1902418965
Entity Type: Organization
Organization Name: Klarisana Physician Services Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: KLARISANA PHYSICIAN SERVICES PLLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 20, 2020
Last Updated: Aug 18, 2025

Practice Location

Address: 9195 GRANT ST STE 130
City: Thornton
State: Colorado
ZIP Code: 80229-4348
Phone: (303) 535-7548

Authorized Official

Name: DR. CARL JOHN BONNETT, MD
Title: MEDICAL DIRECTOR
Phone: (303) 535-7548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Pain — Pain	261QP3300X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Clinic/Center	261Q00000X	Primary

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