Provider Demographics
NPI:1033495924
Name:KAPP, KEITH T (PHARM D)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:T
Last Name:KAPP
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 E ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7167
Mailing Address - Country:US
Mailing Address - Phone:970-581-2222
Mailing Address - Fax:
Practice Address - Street 1:950 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2003
Practice Address - Country:US
Practice Address - Phone:303-388-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist