Individual
KENZIE TARYN MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 S ELIZABETH ST UNIT 103, ELIZABETH, CO 80107-7546
(262) 989-6647
Mailing address
3884 SANDY VISTA TRL, CASTLE ROCK, CO 80104-3517
(262) 989-6647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.1001298-NP
CO
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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