Provider Demographics
NPI:1083350631
Name:GREENLY, KATHLEEN HANSON (CGC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:HANSON
Last Name:GREENLY
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 N HIGH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5507
Mailing Address - Country:US
Mailing Address - Phone:720-754-4901
Mailing Address - Fax:720-754-4906
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:720-754-4901
Practice Address - Fax:720-754-4906
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS