Provider Demographics
NPI:1861082117
Name:ROCKY MOUNTAIN KIDNEY CARE LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN KIDNEY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-590-5955
Mailing Address - Street 1:9777 S YOSEMITE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3115
Mailing Address - Country:US
Mailing Address - Phone:720-696-0852
Mailing Address - Fax:720-696-0892
Practice Address - Street 1:9777 S YOSEMITE ST STE 110
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3115
Practice Address - Country:US
Practice Address - Phone:720-696-0852
Practice Address - Fax:720-696-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty