Provider Demographics
NPI:1902989387
Name:GRIGEL, KAYCIE ROSEN (ND)
Entity Type:Individual
Prefix:
First Name:KAYCIE
Middle Name:ROSEN
Last Name:GRIGEL
Suffix:
Gender:F
Credentials:ND
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 97
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80402-0097
Mailing Address - Country:US
Mailing Address - Phone:303-704-2649
Mailing Address - Fax:
Practice Address - Street 1:456 MESA VIEW WAY
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-7781
Practice Address - Country:US
Practice Address - Phone:303-704-2649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK47175F00000X
CO62175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath