Healthcare Provider Details

I. General information

NPI: 1508028259
Provider Name (Legal Business Name): KYTJA K.S. VOELLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. KYTJA KEMPH

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 CENTENNIAL PKWY STE 110
LOUISVILLE CO
80027-1619
US

IV. Provider business mailing address

363 CENTENNIAL PKWY STE 110
LOUISVILLE CO
80027-1619
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-4750
  • Fax: 303-443-4682
Mailing address:
  • Phone: 303-442-4750
  • Fax: 303-443-4682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number37309
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26982
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number37309
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37309
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: