Individual
CASSANDRA KENNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 614-1400
Mailing address
2550 S PARKER RD, AURORA, CO 80014-1622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202689
CO
164W00000X
Licensed Practical Nurse
40725
CO
Other
Enumeration date
10/17/2008
Last updated
02/24/2012
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