KLARISANA PHYSICIAN SERVICES PLLC NPI 1902418965

NPI Information

  • NPI: 1902418965
  • Provider Name: KLARISANA PHYSICIAN SERVICES PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 9195 GRANT ST STE 130
    THORNTON, CO
    ZIP 80229
  • Phone: (844) 455-2747

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NPI Details

KLARISANA PHYSICIAN SERVICES PLLC is a clinic center in Thornton, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KLARISANA PHYSICIAN SERVICES PLLC NPI is 1902418965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9195 GRANT ST STE 130
THORNTON, CO
ZIP 80229-348
Phone: (844) 455-2747
Fax: (888) 504-2390

The provider's authorized official is Carl John Bonnett .
The authorized official title is Medical Director and has the following contact phone number (844) 455-2747.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 1/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2261Q00000XClinic/CenterYes
3261QI0500XClinic/CenterInfusion TherapyNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QP3300XClinic/CenterPainNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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