Provider Demographics
NPI:1568986784
Name:VINSON, KENYA BY'SHA (CMT, CAM)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:BY'SHA
Last Name:VINSON
Suffix:
Gender:F
Credentials:CMT, CAM
Other - Prefix:
Other - First Name:KENNYA
Other - Middle Name:BY'SHA
Other - Last Name:VINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9727 W 107TH DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7343
Mailing Address - Country:US
Mailing Address - Phone:303-319-8763
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-6104
Practice Address - Country:US
Practice Address - Phone:303-319-8763
Practice Address - Fax:303-319-8763
Is Sole Proprietor?:No
Enumeration Date:2017-07-30
Last Update Date:2017-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No172P00000XOther Service ProvidersNaprapath
No173C00000XOther Service ProvidersReflexologist
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner