Provider Demographics
NPI:1326771189
Name:SMITH, JULIE PAGE-KENT (RD)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:PAGE-KENT
Last Name:SMITH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150943
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-0943
Mailing Address - Country:US
Mailing Address - Phone:720-724-8722
Mailing Address - Fax:
Practice Address - Street 1:1700 BASSETT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1913
Practice Address - Country:US
Practice Address - Phone:720-724-8722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86110020133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered