Individual
GREG F KISANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15101 E ILIFF AVE STE 140, AURORA, CO 80014-4548
(720) 485-4287
Mailing address
1555 S WADSWORTH BLVD, LAKEWOOD, CO 80232-6832
(720) 476-2617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
08/24/2023
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