Provider Demographics
NPI:1023478757
Name:KINDNESS MEDICINE
Entity type:Organization
Organization Name:KINDNESS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-723-1253
Mailing Address - Street 1:1273 S ALTON CT
Mailing Address - Street 2:NONE
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2323
Mailing Address - Country:US
Mailing Address - Phone:720-723-1253
Mailing Address - Fax:
Practice Address - Street 1:1273 S ALTON CT
Practice Address - Street 2:NONE
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2323
Practice Address - Country:US
Practice Address - Phone:720-723-1253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health