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Organization

KENPRO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH MARTINEZ (ACCOUNT MANAGER)
(281) 346-6480
Entity
Organization

Contact information

Practice address
5279 SHADE TREE LN, PARKER, CO 80134-5029
(281) 346-3480
(281) 462-4106
Mailing address
5279 SHADE TREE LN, PARKER, CO 80134-5029
(281) 346-3480
(281) 462-4106

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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