Provider Demographics
NPI:1215044649
Name:KOLBET, DENISE A (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:A
Last Name:KOLBET
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 1:280 EXEMPLA CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3370
Mailing Address - Country:US
Mailing Address - Phone:303-338-3800
Mailing Address - Fax:
Practice Address - Street 1:280 EXEMPLA CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3370
Practice Address - Country:US
Practice Address - Phone:303-338-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21130207N00000X
IA30365207N00000X
CO47850207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA3141804Medicaid
CO020189OtherKAISER COMMERCIAL NUMBER
IA1141804Medicaid
NE47068731720Medicaid
IA2141804Medicaid
NE47068731713Medicaid
IA4141804Medicaid
NE47068731778Medicaid
NE47068731746Medicaid
CO73909041Medicaid
CO73909041Medicaid
IA4141804Medicaid
IA49530Medicare ID - Type Unspecified
IA2141804Medicaid
COCO305037Medicare PIN