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NPI Code Detail

MEDICARE: KAITLIN BRENNAN

MEDICARE:   KAITLIN  BRENNAN
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1194106757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN BRENNAN
Provider Business Mailing Address
First Line : 807 E 4TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-3772
Country : US
Telephone Number : 717-903-4820
Fax Number :
Provider Business Practice Location Address
First Line : 9700 E POWERS AVE
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3545
Country : US
Telephone Number : 303-596-9074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2015
Last Update Date : 01/09/2026

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Directions to “ KAITLIN BRENNAN ” Practice Location

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