Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9659 | CO |
NPI | 1093975666 |
---|---|
Provider Name | Dr. Kelsey Dorine Snavely Akin |
First Address | Denver, CO 80212-2315 |
Second Address | Denver, CO 80212-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 14/04/2017 |