Healthcare Provider Details

I. General information

NPI: 1669815304
Provider Name (Legal Business Name): KAREN HUDDLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9731 W 58TH AVE
ARVADA CO
80002-2016
US

IV. Provider business mailing address

9731 W 58TH AVE
ARVADA CO
80002-2016
US

V. Phone/Fax

Practice location:
  • Phone: 303-421-1200
  • Fax: 303-403-2881
Mailing address:
  • Phone: 303-421-1200
  • Fax: 303-403-2881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14977
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14977
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: