Individual
DR. KELSEY LEIGH KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-2719
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0006269
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500701105
—
OR
Enumeration date
02/11/2016
Last updated
02/23/2024
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