Provider Demographics
NPI:1861618233
Name:KEARNS, KARI MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:MARIE
Last Name:KEARNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:MARIE
Other - Last Name:WENDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:859 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3205
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO023262OtherKAISER COMMERCIAL NUMBER
CO73731340Medicaid
CO73731340Medicaid
COP00626008Medicare PIN
CO809661Medicare PIN
COC811681Medicare PIN