Provider Demographics
NPI:1134502859
Name:KINTEH, JABOU II
Entity Type:Individual
Prefix:
First Name:JABOU
Middle Name:
Last Name:KINTEH
Suffix:II
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JABOU
Other - Middle Name:
Other - Last Name:KINTEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1294 S TROY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:01294 S TROY ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NONE
Practice Address - Zip Code:80012
Practice Address - Country:GM
Practice Address - Phone:220-999-8425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS