Provider Demographics
NPI:1740646173
Name:FITCH, KEVIN RAYMOND (MA ED)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:RAYMOND
Last Name:FITCH
Suffix:
Gender:M
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 E 33RD PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-1206
Mailing Address - Country:US
Mailing Address - Phone:303-962-2270
Mailing Address - Fax:
Practice Address - Street 1:14500 E 33RD PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-1206
Practice Address - Country:US
Practice Address - Phone:303-962-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health