NPI 1457306649 · live from the CMS NPI Registry
Kenneth B Bielinski, M.D.
Dermatology in Aspen, CO. National Provider Identifier 1457306649, active.
NPI record
| NPI | 1457306649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 900 E Durant Ave Apt 113, Aspen, CO 81611 |
| Practice phone | 815-919-9233 |
| Mailing address | 450 E Waterside Dr Unit 3107, Chicago, IL 60601 |
| Enumerated | May 24, 2006 |
| Last updated | November 26, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 036-070977 (IL) |
| Dermatology, Dermatopathology | 207ND0900X | 036-070977 (IL) |
| Dermatology | 207N00000X | BIEL0051223 (CO) |
| Dermatology, Procedural Dermatology | 207NS0135X | 036-070977 (IL) |
| Dermatology primary | 207N00000X | 036-070977 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.