Healthcare Provider Details

I. General information

NPI: 1669863387
Provider Name (Legal Business Name): KAYLA DAY KRUG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S COLORADO BLVD # B-108
DENVER CO
80222-3303
US

IV. Provider business mailing address

1325 S COLORADO BLVD # B-108
DENVER CO
80222-3303
US

V. Phone/Fax

Practice location:
  • Phone: 303-879-6178
  • Fax: 303-872-6668
Mailing address:
  • Phone: 303-879-6178
  • Fax: 303-872-6668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0996550-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: