Provider Demographics
NPI:1558968644
Name:KADIANT, LLC
Entity Type:Organization
Organization Name:KADIANT, LLC
Other - Org Name:KADIANT DENVER CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-523-4268
Mailing Address - Street 1:PO BOX 399318
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-9318
Mailing Address - Country:US
Mailing Address - Phone:303-525-6292
Mailing Address - Fax:510-863-9848
Practice Address - Street 1:44 UNION BLVD STE 125
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1856
Practice Address - Country:US
Practice Address - Phone:303-525-6292
Practice Address - Fax:510-863-9848
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KADIANT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-02
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty