Provider Demographics
NPI:1871739938
Name:FELIX, KEVIN ALIKA (DO)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALIKA
Last Name:FELIX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3850 GRANT AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-8431
Mailing Address - Country:US
Mailing Address - Phone:970-624-5170
Mailing Address - Fax:970-669-7521
Practice Address - Street 1:3850 GRANT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-8431
Practice Address - Country:US
Practice Address - Phone:970-624-5170
Practice Address - Fax:970-669-7521
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10545207Q00000X
CO47485207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57058351Medicaid
COCOA101970Medicare PIN