Healthcare Provider Details

I. General information

NPI: 1326749987
Provider Name (Legal Business Name): GETU KEFELEGN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5478 S HARVEST WAY
AURORA CO
80016-5858
US

IV. Provider business mailing address

5478 S HARVEST WAY
AURORA CO
80016-5858
US

V. Phone/Fax

Practice location:
  • Phone: 720-329-7548
  • Fax:
Mailing address:
  • Phone: 720-329-7548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: