Individual
KENNETH L WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 743-5855
Mailing address
14552 RACE ST, THORNTON, CO 80602-7018
(303) 789-9937
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010068
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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