Provider Demographics
NPI:1730163882
Name:GEIGER, KRISTEN (MD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-861-2263
Mailing Address - Fax:303-861-4741
Practice Address - Street 1:2055 HIGH STREET
Practice Address - Street 2:SUITE 130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5504
Practice Address - Country:US
Practice Address - Phone:303-861-2263
Practice Address - Fax:303-861-4741
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34679207P00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01346790Medicaid
WY1730163882Medicaid
NE10025633000Medicaid
KS200633730AMedicaid
COC810153Medicare PIN
COE50116Medicare ID - Type Unspecified
COG20471Medicare UPIN
CO01346790Medicaid