Healthcare Provider Details

I. General information

NPI: 1821856188
Provider Name (Legal Business Name): KAILYN HINRICHSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

84 CHESTER AVE APT 3
CHELSEA MA
02150-4386
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-3000
  • Fax:
Mailing address:
  • Phone: 303-704-8530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number153759
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1627944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: