Healthcare Provider Details

I. General information

NPI: 1689138125
Provider Name (Legal Business Name): KAYTIE COLGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYTIE ANDERSON

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24354 E FORD AVE
AURORA CO
80018-1608
US

IV. Provider business mailing address

24354 E FORD AVE
AURORA CO
80018-1608
US

V. Phone/Fax

Practice location:
  • Phone: 303-845-0819
  • Fax:
Mailing address:
  • Phone: 303-845-0819
  • Fax: 303-845-0819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: