Healthcare Provider Details

I. General information

NPI: 1073655023
Provider Name (Legal Business Name): KRISTIN LEE RANKIN M.A.CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY SUITE #450
DENVER CO
80220-4020
US

IV. Provider business mailing address

4600 HALE PKWY STE 450
DENVER CO
80220-4013
US

V. Phone/Fax

Practice location:
  • Phone: 303-698-7378
  • Fax:
Mailing address:
  • Phone: 303-698-7378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number82
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number82
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number82
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: