Provider Demographics
NPI:1568886851
Name:FELDER, KAYLIN
Entity Type:Individual
Prefix:
First Name:KAYLIN
Middle Name:
Last Name:FELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 E BRIARWOOD CIR UNIT 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1785
Mailing Address - Country:US
Mailing Address - Phone:303-269-2626
Mailing Address - Fax:303-269-2620
Practice Address - Street 1:15901 E BRIARWOOD CIR UNIT 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1785
Practice Address - Country:US
Practice Address - Phone:303-269-2626
Practice Address - Fax:303-269-2620
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.15495363LF0000X
CO0992927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0098687Medicaid
OH0098687Medicaid