Doctor Name: | KAYLA RUIZ |
NPI Number: | 1740654383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OT.0004432 |
Business Practice Address: | 5750 Dtc Parkway Suite 170 Greenwood Village, CO - 801115483 |
Business Phone Number: | 3035049945 |
Business Fax Number: | |
Mailing Address: | 11775 Wadsworth Blvd, Apt. 9103 BROOMFIELD |
State: | CO |
Postal Code: | 800202724 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT.0004432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |