Healthcare Provider Details

I. General information

NPI: 1972482685
Provider Name (Legal Business Name): MISS KERRI ANNE VOGT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

6315 W 32ND AVE
WHEAT RIDGE CO
80033-6452
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-2000
  • Fax:
Mailing address:
  • Phone: 303-525-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0140180
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: