Individual
MRS. LUANN JOAN KENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7934 S DEPEW ST APT C, LITTLETON, CO 80128-8402
(720) 244-2807
Mailing address
7934 S DEPEW ST APT C, LITTLETON, CO 80128-8402
(720) 244-2807
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
922154974
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922154974
LICENSE NUMBER
—
Enumeration date
01/20/2017
Last updated
01/20/2017
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