Provider Demographics
NPI:1700397445
Name:REDDY, KAILEE MARIE MORTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAILEE
Middle Name:MARIE MORTON
Last Name:REDDY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAILEE
Other - Middle Name:MARIE
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:162 PELICAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5314
Mailing Address - Country:US
Mailing Address - Phone:720-936-8216
Mailing Address - Fax:
Practice Address - Street 1:1375 E 19TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1114
Practice Address - Country:US
Practice Address - Phone:303-812-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-20
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP78501835P1200X
COPHA.00227511835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy