| Kelly P Knudson, MD | |
|
300 Exempla Cir, Suite 360, Lafayette, CO 80026-3397 | |
| (303) 689-6560 | |
| (303) 689-6550 |
| Full Name | Kelly P Knudson |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 300 Exempla Cir, Lafayette, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104972884 | NPI | - | NPPES |
| 46630597 | Medicaid | CO | |
| P00727533 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 46629 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Medical Center Llc | Lafayette, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver, Llc | 0840513552 | 454 |
| Entity Name | Good Samaritan Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043250780 PECOS PAC ID: 7618995275 Enrollment ID: O20051102001154 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly P Knudson, MD 300 Exempla Cir, Suite 360, Lafayette, CO 80026-3397 Ph: (303) 689-6560 | Kelly P Knudson, MD 300 Exempla Cir, Suite 360, Lafayette, CO 80026-3397 Ph: (303) 689-6560 |
Barbara D Mullen, Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 720-536-7050 | |
Brian P Murphy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Terry M Gilliland, Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-861-3152 | |
Dr. Jeffrey B Leftwich, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Paul William Suding, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Exempla Cir, Suite 360, Lafayette, CO 80026 Phone: 303-689-6560 Fax: 303-689-6550 | |
Dr. Stephen E Brown, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |