Carly Kesner, LE

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

COZ.0614822 Issued in CO

Practice address

10080 W 26TH Ave
Lakewood, CO 80215-1429

Phone

(720) 483-2006

NPI assigned

Jun 7, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revival Skin Artistry

  • Other Specialist/Technologist
  • Lakewood, CO
  • NPI 1669254710

  Specialist/Technologist, Other

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1528752904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 HIGH DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652605",
            "telephone_number": "720-483-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 W 26TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151429",
            "telephone_number": "720-483-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESNER",
        "first_name": "CARLY",
        "credential": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CO",
            "license": "COZ.0614822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Kerrigan, P.T.
• Kerry K Jarvis OD PLLC
• Sean Kershaw, LPC
• Lloyd M. Kershen, M.D.
• Erica Kerzon, PMHNP-BC
• Anna Kestenbaum
• Keuhn Chiropractic Clinic PC
• Richard L Keuhn, D.C.
• Kevin Tong MD PC
• Erin Elizabeth Keyser

• Other Specialist/Technologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Other Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.