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NPI Code Detail

MEDICARE: KATELYNN RENEE DAVIS

MEDICARE: KATELYNN RENEE DAVIS
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
11041C0700XClinical Social WorkerCSW.09933241CO

General Provider Information

NPI Number : 1821870163
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYNN RENEE DAVIS
Provider Business Mailing Address
First Line : 2949 FEDERAL BLVD STE 205
Second Line :
City : DENVER
State : CO
Zip : 80211-3741
Country : US
Telephone Number : 720-306-1274
Fax Number :
Provider Business Practice Location Address
First Line : 10782 E ALAMEDA AVE
Second Line :
City : AURORA
State : CO
Zip : 80012-1017
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2023
Last Update Date : 06/24/2026

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Directions to “ KATELYNN RENEE DAVIS ” Practice Location

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