Kyla Rachel Bates, LA.C. DIPLO.OM
Individual provider Active NPI Acupuncturist · Lonetree, CO
NPI 1215216320 · NPPES record last updated Aug 7, 2011
Key facts
- NPI
- 1215216320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1693 (CO)
- Practice address
- 9075 Forsstrom Dr
Lonetree, CO 80124-6737 - Phone
- (303) 470-1995
- NPI assigned
- Aug 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1693 | CO | Yes |
Addresses
Primary practice location
9075 Forsstrom Dr
Lonetree, CO 80124-6737
Mailing address
1190 Birch St
308
Denver, CO 80220-6214
Phone (720) 401-0346
Other providers in Lonetree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.