Healthcare Provider Details

I. General information

NPI: 1033023858
Provider Name (Legal Business Name): KASHAUNA CYNTHIA TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11186 LIVINGSTON DR
NORTHGLENN CO
80234-6200
US

IV. Provider business mailing address

21 PERRY ST
DENVER CO
80219-1232
US

V. Phone/Fax

Practice location:
  • Phone: 720-385-6658
  • Fax:
Mailing address:
  • Phone: 720-385-6658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: