Individual
DYLAN KOPEL KINTISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(302) 617-2300
(303) 617-2365
Mailing address
3201 S SHERMAN ST APT 8, ENGLEWOOD, CO 80113-2643
(978) 578-4853
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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