Organization Active NPI

Kenpro, LLC

  • Neurology Physician
  • Parker, CO
National Provider Identifier
1629614557
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KENPRO, LLC
Practice address
5279 Shade Tree LN
Parker, CO 80134-5029
Phone
(281) 346-3480
Fax
(281) 462-4106
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Elizabeth Martinez
Title
Account Manager
Phone
(281) 346-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5279 Shade Tree LN
Parker, CO 80134-5029

Mailing address

5279 Shade Tree LN
Parker, CO 80134-5029
Phone (281) 346-3480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1629614557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 SHADE TREE LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345029",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5279 SHADE TREE LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345029",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENPRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "281-346-6480"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.