Healthcare Provider Details

I. General information

NPI: 1548519515
Provider Name (Legal Business Name): KAYLEY JO SIMMONS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 6TH AVE FL 2
DENVER CO
80204-5182
US

IV. Provider business mailing address

301 W 6TH AVE FL 2
DENVER CO
80204-5182
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-6785
  • Fax:
Mailing address:
  • Phone: 303-602-6785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number52029
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number23382
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: