DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

YOHANNES ANDOM KIDANE

Active Sole Proprietor

YOHANNES ANDOM KIDANE is a Bus healthcare provider located in PUEBLO, Colorado. NPI 1992489603 is currently active in the NPPES registry. Verify at CMS.

Bus · PUEBLO, CO

Registration Details

NPI Number
1992489603
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2023 (3.1753887327574 yrs)
Last Updated
Jun 13, 2023
Sole Proprietor
Yes

Practice Information

Address
5000 RED CREEK SPRINGS RD LOT 54
PUEBLO, CO, 810059723
Browse CO providers · Browse ZIP 81005
Phone
7204927581
Primary Specialty
Bus
343900000X

Other Bus Providers in PUEBLO, CO

Name Credential NPI
KIRSTEN D BACA 1588341937
BROOKE THURSTON 1881450187
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.