Individual
KENDRA ALISSA GRAYBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 876, UNIVERSITY PHYSICIANS INC., AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-5466
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28520726
—
CO
05
—
70382336
—
CO
Enumeration date
10/14/2008
Last updated
05/13/2011
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