Healthcare Provider Details

I. General information

NPI: 1043165582
Provider Name (Legal Business Name): KALEIGH RAINWATER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 DOMINION WAY FL 1
COLORADO SPRINGS CO
80918-1483
US

IV. Provider business mailing address

1925 DOMINION WAY FL 1
COLORADO SPRINGS CO
80918-1483
US

V. Phone/Fax

Practice location:
  • Phone: 719-300-5735
  • Fax: 719-931-5037
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: