Healthcare Provider Details

I. General information

NPI: 1770110652
Provider Name (Legal Business Name): HANNAH KAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 E KENTUCKY AVE
DENVER CO
80246-2365
US

IV. Provider business mailing address

4900 E KENTUCKY AVE
DENVER CO
80246-2365
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0070868
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: