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NPI Code Detail

MEDICARE: ANNA KESTENBAUM

MEDICARE: ANNA KESTENBAUM
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639663404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KESTENBAUM
Provider Business Mailing Address
First Line : 1516 XAVIER ST APT 406
Second Line :
City : DENVER
State : CO
Zip : 80204-1024
Country : US
Telephone Number : 303-589-6720
Fax Number :
Provider Business Practice Location Address
First Line : 1655 YARROW ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-6030
Country : US
Telephone Number : 303-238-1275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 06/15/2018

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Directions to “ ANNA KESTENBAUM ” Practice Location

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