Healthcare Provider Details

I. General information

NPI: 1386558419
Provider Name (Legal Business Name): KENNEDI CALLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17336 E RICE CIR
AURORA CO
80015-6111
US

IV. Provider business mailing address

18555 E SMOKY HILL RD UNIT 460042
AURORA CO
80046-3703
US

V. Phone/Fax

Practice location:
  • Phone: 720-288-7544
  • Fax:
Mailing address:
  • Phone: 720-288-7544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICA PONDER
Title or Position: EXECUTIVE DIRECTOR
Credential: QBHA
Phone: 720-288-7544