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NPI Code Detail

MEDICARE: MR. KERRY J DURAN MS

MEDICARE: MR. KERRY J DURAN MS
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3104100000XSocial WorkerCO

General Provider Information

NPI Number : 1194058479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KERRY J DURAN MS
Provider Business Mailing Address
First Line : 325 KING ST
Second Line :
City : DENVER
State : CO
Zip : 80219-1326
Country : US
Telephone Number : 720-537-0111
Fax Number :
Provider Business Practice Location Address
First Line : 325 KING ST
Second Line :
City : DENVER
State : CO
Zip : 80219-1326
Country : US
Telephone Number : 720-537-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 10/05/2023

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