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Individual

BENJAMIN JOHN KAKALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
24300 E SMOKY HILL RD, AURORA, CO 80016-1387
(303) 680-1772
Mailing address
25300 E ABERDEEN DR, AURORA, CO 80016-6205
(562) 858-8930

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0013968
CO

Other

Enumeration date
10/06/2019
Last updated
10/06/2019
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