| Kenpro, Llc | |
|
5279 Shade Tree Ln Parker CO 80134-5029 | |
| (281) 346-3480 | |
| (281) 462-4106 |
| Full Name | Kenpro, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5279 Shade Tree Ln, Parker, Colorado |
| Authorized Official Name and Position | Elizabeth Martinez (ACCOUNT MANAGER) |
| Authorized Official Contact | 2813466480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenpro, Llc 5279 Shade Tree Ln Parker CO 80134-5029 Ph: (281) 346-3480 | Kenpro, Llc 5279 Shade Tree Ln Parker CO 80134-5029 Ph: (281) 346-3480 |
| NPI Number | 1629614557 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629614557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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