Individual
KEVIN CHRISTOPHER SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 HUMBOLDT ST, DENVER, CO 80218-1614
(303) 504-1250
Mailing address
2330 BROADWAY APT 921, DENVER, CO 80205-2082
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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