Healthcare Provider Details

I. General information

NPI: 1669328126
Provider Name (Legal Business Name): NORMA KAY KAHOLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JASON JOVANIE CASHMAN

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10027 WYANDOTT CIR S
THORNTON CO
80260-6396
US

IV. Provider business mailing address

10027 WYANDOTT CIR S
THORNTON CO
80260-6396
US

V. Phone/Fax

Practice location:
  • Phone: 303-507-9773
  • Fax:
Mailing address:
  • Phone: 303-507-9773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: