Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 175L00000X | Homeopath |
NPI | 1568986784 |
---|---|
Provider Name | Kenya By'sha Vinson |
First Address | Westminster, CO 80021-7343 |
Second Address | Westminster, CO 80003-6104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2017 |
Last Update Date | 30/07/2017 |