Healthcare Provider Details

I. General information

NPI: 1093641292
Provider Name (Legal Business Name): CALEB KAPP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 58TH AVE STE 210
DENVER CO
80216-1400
US

IV. Provider business mailing address

1480 HOYT ST STE 200
LAKEWOOD CO
80215-4726
US

V. Phone/Fax

Practice location:
  • Phone: 720-928-1434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927628
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: