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Organization

EHC21 LLC

Active
Other names
KIVI Health
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN BADON PBT (CEO)
(866) 253-9266
Entity
Organization

Contact information

Practice address
1751 HOVER ST # 66B4, LONGMONT, CO 80501-7181
(469) 237-5075
Mailing address
1751 HOVER ST # 66B4, LONGMONT, CO 80501-7181
(469) 237-5075

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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