Provider Demographics
NPI:1427112572
Name:BATTERBEE, KEVIN N (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:N
Last Name:BATTERBEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13255 HONEY RUN WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921
Mailing Address - Country:US
Mailing Address - Phone:719-465-1178
Mailing Address - Fax:719-358-7638
Practice Address - Street 1:2135 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:719-633-4114
Practice Address - Fax:719-633-5984
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010135302084P0800X
CO473352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4477122Medicaid
MIBB6501438OtherD.E.A. NUMBER
MIN71130003Medicare PIN
MIBB6501438OtherD.E.A. NUMBER
MIH07589Medicare UPIN