Provider Demographics
NPI:1790024727
Name:KNAPP, KELLY C
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:C
Last Name:KNAPP
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 1:2214 E 17TH AVE
Mailing Address - Street 2:APT #6
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1220
Mailing Address - Country:US
Mailing Address - Phone:308-440-2999
Mailing Address - Fax:
Practice Address - Street 1:5524 S PRINCE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1126
Practice Address - Country:US
Practice Address - Phone:303-761-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health