Provider Demographics
NPI:1326930181
Name:KHOE, AMY DIANE (RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:DIANE
Last Name:KHOE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 S PITKIN ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2143
Mailing Address - Country:US
Mailing Address - Phone:907-841-3970
Mailing Address - Fax:
Practice Address - Street 1:2703 S PITKIN ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2143
Practice Address - Country:US
Practice Address - Phone:907-841-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1661516163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse