Provider Demographics
NPI:1427066588
Name:LOKKEN, KAJSA (MD)
Entity type:Individual
Prefix:DR
First Name:KAJSA
Middle Name:
Last Name:LOKKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAJSA
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1001 E JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:CO
Mailing Address - Zip Code:80734-1854
Mailing Address - Country:US
Mailing Address - Phone:970-854-2241
Mailing Address - Fax:970-854-3887
Practice Address - Street 1:1001 E JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:CO
Practice Address - Zip Code:80734-1854
Practice Address - Country:US
Practice Address - Phone:970-854-2241
Practice Address - Fax:970-854-3887
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0034860207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01348606Medicaid
G27900Medicare UPIN
CO01348606Medicaid
CO803021Medicare PIN
CO1427066588Medicare NSC