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NPI Code Detail

MEDICARE: GINA KEDING RN

MEDICARE:   GINA  KEDING  RN
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
1163W00000XRegistered NurseRN1664507CO

General Provider Information

NPI Number : 1912775610
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA KEDING RN
Provider Business Mailing Address
First Line : 4430 S ADAMS COUNTY PKWY
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 303-200-9200
Fax Number :
Provider Business Practice Location Address
First Line : 4430 S ADAMS COUNTY PKWY
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-8222
Country : US
Telephone Number : 303-200-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2023
Last Update Date : 12/13/2023

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