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Deactivated NPI 1336779495 Deactivated / Inactive NPI Male Practitioner

Kenneth Simmons , BS

Specialist • Denver, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Simmons has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2020
NPI Deactivation Date October 05, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Kenneth Simmons, BS was a registered Specialist practicing in Denver, CO. Throughout an active medical career spanning 2 years, Kenneth Simmons provided care at the practice location at 1225 S BELLAIRE ST APT 509 until profile deactivation on 2022-10-05.

Practice Location & Contact Primary Location

Practice Address

1225 S Bellaire St Apt 509

Denver, CO 802467753

Telephone 5153461099

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.8 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
252 Specialists

Practicing in Denver, CO (1204 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 05, 2022

Record deactivated on October 05, 2022

NPI Profile Active January 16, 2020

NPI status registered as active in NPPES database

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Updated Practice Location January 16, 2020

Registered at 1225 S BELLAIRE ST APT 509, DENVER, CO 802467753 (Tel: 5153461099)

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Updated Business Mailing Address January 16, 2020

Registered at 1225 S BELLAIRE ST APT 509, DENVER, CO 802467753 (Tel: 5153461099)

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Provider Name / Credentials Updated January 16, 2020

Recorded as KENNETH SIMMONS, BS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2020

Specialist

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Initial NPI Registration & Enumeration January 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336779495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2020
Last Update: January 16, 2020
Deactivation Date: October 05, 2022

Mailing Address

1225 S Bellaire St Apt 509

Denver, CO 802467753

Phone: 5153461099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.