Provider Demographics
NPI:1982031233
Name:SWAROFF, KENNETTE KAY (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:KENNETTE
Middle Name:KAY
Last Name:SWAROFF
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5283 S ZENO WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2336
Mailing Address - Country:US
Mailing Address - Phone:303-693-7368
Mailing Address - Fax:
Practice Address - Street 1:5283 S ZENO WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-2336
Practice Address - Country:US
Practice Address - Phone:303-693-7368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1623159163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse