Healthcare Provider Details

I. General information

NPI: 1306777636
Provider Name (Legal Business Name): KRISTEN DESANTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12950 E MONTVIEW BLVD
AURORA CO
80045-2515
US

IV. Provider business mailing address

12950 E MONTVIEW BLVD
AURORA CO
80045-2515
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: