Provider Demographics
NPI:1881485464
Name:KOUYATE, KADIATOU
Entity type:Individual
Prefix:
First Name:KADIATOU
Middle Name:
Last Name:KOUYATE
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 1:4018 N QUEMOY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-3644
Mailing Address - Country:US
Mailing Address - Phone:720-515-6121
Mailing Address - Fax:
Practice Address - Street 1:4018 N QUEMOY ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-3644
Practice Address - Country:US
Practice Address - Phone:720-831-9992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator