Provider Demographics
NPI:1235886722
Name:HELTON, KYLE
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:HELTON
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 1:43369 MEADOWBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-4467
Mailing Address - Country:US
Mailing Address - Phone:720-673-9132
Mailing Address - Fax:
Practice Address - Street 1:19585 HESS RD UNIT 106
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3892
Practice Address - Country:US
Practice Address - Phone:720-673-9132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician