Healthcare Provider Details
I. General information
NPI: 1053251736
Provider Name (Legal Business Name): KINSTEAD HEALTH COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2955 NEW CENTER PT # 1113
COLORADO SPRINGS CO
80922-2806
US
IV. Provider business mailing address
2955 NEW CENTER PT # 1113
COLORADO SPRINGS CO
80922-2806
US
V. Phone/Fax
- Phone: 719-212-1633
- Fax: 719-888-1852
- Phone: 719-212-1633
- Fax: 719-888-1852
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
GRIFFIS
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 606-515-9372