Provider Demographics
NPI:1093875759
Name:SHAPIRO, KINDRA JANE (LAC)
Entity Type:Individual
Prefix:
First Name:KINDRA
Middle Name:JANE
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 E ARAPAHOE RD STE 335
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1278
Mailing Address - Country:US
Mailing Address - Phone:720-482-6698
Mailing Address - Fax:
Practice Address - Street 1:7500 E ARAPAHOE RD STE 335
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1278
Practice Address - Country:US
Practice Address - Phone:720-482-6698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1181171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist