Individual provider Active NPI

Kenneth Scott Kime, D.O.

  • Family Medicine Physician
  • Ft. Carson, CO
National Provider Identifier
1629058367
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34451 Issued in CO
Practice address
USA Meddac, Evans Army Community Hospital
1650 Cochrane Circle, Attn: Emergency Dept
Ft. Carson, CO 80913-4604
Phone
(719) 526-7650
Fax
(719) 524-4090
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34451 CO Primary

Addresses

Primary practice location

USA Meddac, Evans Army Community Hospital
1650 Cochrane Circle, Attn: Emergency Dept
Ft. Carson, CO 80913-4604

Mailing address

USA Meddac, Evans Army Community Hospital
1650 Cochrane Circle, Attn: Credentials Office
Ft. Carson, CO 80913-4604
Phone (719) 526-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34451COMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1629058367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE, ATTN: EMERGENCY DEPT",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7650",
            "fax_number": "719-524-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "34451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.