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NPI Code Detail

MEDICARE: KAITLYN VONDRAN

MEDICARE:   KAITLYN  VONDRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTL.0020801CO

General Provider Information

NPI Number : 1457239576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN VONDRAN
Provider Business Mailing Address
First Line : 2866 S JOSLIN CT
Second Line :
City : DENVER
State : CO
Zip : 80227-3842
Country : US
Telephone Number : 206-478-4104
Fax Number :
Provider Business Practice Location Address
First Line : 6840 S UNIVERSITY BLVD STE 400
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-1510
Country : US
Telephone Number : 303-771-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 08/26/2025

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Directions to “ KAITLYN VONDRAN ” Practice Location

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