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Organization
KID PHYSICAL LLC
Active
Organization
KID PHYSICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MILLER (PRESIDENT)
(860) 593-6868
Entity
Organization
Contact information
Practice address
18885 E EASTER PL, CENTENNIAL, CO 80016-2136
(860) 593-6868
Mailing address
16350 E ARAPAHOE RD STE 146, AURORA, CO 80016-1557
(860) 593-6868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2020
Last updated
12/23/2020
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