Provider Demographics
NPI:1922481464
Name:COLLINS, KAYE T (CNTP)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:T
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80502-0235
Mailing Address - Country:US
Mailing Address - Phone:720-371-5688
Mailing Address - Fax:
Practice Address - Street 1:949 NINEBARK LN
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-6478
Practice Address - Country:US
Practice Address - Phone:303-834-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist