MEDICARE: KIDS LIFE INC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346173168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS LIFE INC

Provider Business Mailing Address
First Line	:	5224 PERTH CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-8368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5224 PERTH CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-8368
Country	:	US
Telephone Number	:	720-355-4151
Fax Number	:	720-355-4151

Authorized Official
Title or Position	:	OWNER
Name	:	LAKISHA PAYTON
Credential	:
Telephone Number	:	720-355-4151

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “KIDS LIFE INC ” Practice Location

Language	Start Address	Practice Location

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