Healthcare Provider Details

I. General information

NPI: 1760907356
Provider Name (Legal Business Name): KRISTEN GEBING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 S ELATI ST STE 102
LITTLETON CO
80120-8081
US

IV. Provider business mailing address

7851 S ELATI ST STE 102
LITTLETON CO
80120-8081
US

V. Phone/Fax

Practice location:
  • Phone: 720-283-4067
  • Fax: 303-798-2319
Mailing address:
  • Phone: 720-283-4067
  • Fax: 303-798-2319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0000863
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: