Provider Demographics
NPI:1154080166
Name:AUGMON, KIYANYA
Entity Type:Individual
Prefix:
First Name:KIYANYA
Middle Name:
Last Name:AUGMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14394 E WARREN PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1484
Mailing Address - Country:US
Mailing Address - Phone:720-429-7908
Mailing Address - Fax:
Practice Address - Street 1:14394 E WARREN PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1484
Practice Address - Country:US
Practice Address - Phone:720-429-7908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant