Provider Demographics
NPI:1154135770
Name:GENET, AKLILE TSEGIE
Entity type:Individual
Prefix:
First Name:AKLILE
Middle Name:TSEGIE
Last Name:GENET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 ELKHART ST APT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8843
Mailing Address - Country:US
Mailing Address - Phone:720-990-4746
Mailing Address - Fax:
Practice Address - Street 1:471 ELKHART ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-3489
Practice Address - Country:US
Practice Address - Phone:720-990-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
CO347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)