Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 150569 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | DR.0061294 | CO |
NPI | 1437470408 |
---|---|
Provider Name | Amy Kay Fenoglio |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 04/11/2018 |