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NPI Code Detail

MEDICARE: LAURA KENNY

MEDICARE: LAURA KENNY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT.0005164CO

General Provider Information

NPI Number : 1013499318
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KENNY
Provider Business Mailing Address
First Line : 12 E BAYAUD AVE
Second Line :
City : DENVER
State : CO
Zip : 80209-1504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4800 TABOR ST
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-2112
Country : US
Telephone Number : 303-421-4161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 09/04/2018

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Directions to “ LAURA KENNY ” Practice Location

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