Provider Demographics
NPI:1992759336
Name:LAMPERT, KEVIN (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:LAMPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:NO 124
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-365562085R0202X
HIMD175532085R0202X
NE252222085R0202X
CO411582085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009981075Medicaid
NE10025709000Medicaid
AZ927212Medicaid
KS200417140AMedicaid
CO86355261Medicaid
NECO305743OtherMEDICARE TRAILBLAZER RIN
OH0066348Medicaid
WY1992759336Medicaid
TX3106056Medicaid
NE84-059792913Medicaid
MT1992759336Medicaid
CA1992759336Medicaid
CO300138105OtherRR RIA MEDICARE
IA1992759336Medicaid
OK200426300AMedicaid
NC7617653Medicaid
MI104686249Medicaid
CT1992759336Medicaid
CO300138104OtherRR MIC MEDICARE
OH0066348Medicaid
NENA1215043Medicare PIN
NENA1214043Medicare PIN
CO391278ZLJ3Medicare PIN
CO86355261Medicaid
MT1992759336Medicaid
KSKA3249001Medicare PIN
OH0066348Medicaid
IA1992759336Medicaid
NE10025709000Medicaid
NEP00796341Medicare PIN
NENA2517012Medicare PIN