Kandiko, Patty Jean

Kandiko, Patty Jean is an individual health care provider with primary practice located at 2241 N 7Th St , Grand Junction CO 81501-7423. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kandiko, Patty Jean can be contacted via phone (970) 549-1711.

Contact Information

Primary practice address
2241 N 7Th St Grand Junction CO 81501-7423
Phone: (970) 549-1711
Fax: (970) 314-2633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 0990542 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1649515685
LBN Legal business name Kandiko, Patty Jean
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Aug 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649515685 NPPES
Colorado Other 330749YXN7 MEDICARE ID
Colorado MEDICAID 62975862 MEDICARE ID

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