Healthcare Provider Details

I. General information

NPI: 1104516020
Provider Name (Legal Business Name): KINSPIRE HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 QUEBEC ST # 100-311
DENVER CO
80207-1638
US

IV. Provider business mailing address

3700 QUEBEC ST # 100-311
DENVER CO
80207-1638
US

V. Phone/Fax

Practice location:
  • Phone: 303-249-7324
  • Fax: 844-444-1252
Mailing address:
  • Phone: 303-249-7324
  • Fax: 844-444-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STUART SEIGEL
Title or Position: PRESIDENT
Credential: MD
Phone: 303-249-7324