Provider Demographics
NPI:1689188245
Name:COOK, KAYLA MICHELLE (ND)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:MICHELLE
Last Name:COOK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 VANCE DR STE 160
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2132
Mailing Address - Country:US
Mailing Address - Phone:720-773-0451
Mailing Address - Fax:720-316-6731
Practice Address - Street 1:7850 VANCE DR STE 160
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2132
Practice Address - Country:US
Practice Address - Phone:720-773-0451
Practice Address - Fax:720-316-6731
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000151175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath