Provider Demographics
NPI:1326749987
Name:KEFELEGN, GETU
Entity Type:Individual
Prefix:
First Name:GETU
Middle Name:
Last Name:KEFELEGN
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 1:5478 S HARVEST WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5858
Mailing Address - Country:US
Mailing Address - Phone:720-329-7548
Mailing Address - Fax:
Practice Address - Street 1:5478 S HARVEST WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5858
Practice Address - Country:US
Practice Address - Phone:720-329-7548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company