Waanders, Kelly Dawn

Waanders, Kelly Dawn is an sole proprietor health care provider with primary practice located at 5985 S Birch Way , Centennial CO 80121-3306. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Waanders, Kelly Dawn can be contacted via phone (720) 493-0777.

Contact Information

Primary practice address
5985 S Birch Way Centennial CO 80121-3306
Phone: (720) 493-0777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 985050 Colorado

Profile Details

NPI number 1598855850
LBN Legal business name Waanders, Kelly Dawn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1598855850 NPPES
Colorado MEDICAID 70281327

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