Basic Information
| Provider Information | |||||||||
| NPI: | 1396077384 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VIEHMAN | ||||||||
| FirstName: | KRISTEN | ||||||||
| MiddleName: | DORAK | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5351 S ROSLYN ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034693182 | ||||||||
| FaxNumber: | 3034694693 | ||||||||
| Practice Location | |||||||||
| Address1: | 5351 S ROSLYN ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034693182 | ||||||||
| FaxNumber: | 3034694693 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | C0004135 | MD | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | 363AS0400X | 3406 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.