Most Relevant Information
Provider Data
| NPI Number: | 1003423591 |
| Provider Name: | KRISTEN KAYE WEDERSKI DOCTORAL STUDENT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
2450 S VINE ST
DENVER
CO
802105264
Practice Location Phone/Fax
| Phone: | 6173299370 |
| Fax: |
Provider Mailing Location
7476 E ARKANSAS AVE APT 505
DENVER
CO
802312561
Provider Mailing Phone/Fax
| Phone: | 3078400216 |
| Fax: |