Healthcare Provider Details

I. General information

NPI: 1356783559
Provider Name (Legal Business Name): STEFFANIE KADAVY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 LOST CANYON RANCH CT
CASTLE ROCK CO
80104-3273
US

IV. Provider business mailing address

2152 LOST CANYON RANCH CT
CASTLE ROCK CO
80104-3273
US

V. Phone/Fax

Practice location:
  • Phone: 303-257-2958
  • Fax:
Mailing address:
  • Phone: 303-257-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0019924
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: