Provider Demographics
NPI:1952287609
Name:KREKORA, AMANADA CHRISTEN
Entity type:Individual
Prefix:
First Name:AMANADA
Middle Name:CHRISTEN
Last Name:KREKORA
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 1:88 INVERNESS CIR E UNIT K103
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5528
Mailing Address - Country:US
Mailing Address - Phone:303-406-0784
Mailing Address - Fax:
Practice Address - Street 1:88 INVERNESS CIR E UNIT K103
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5528
Practice Address - Country:US
Practice Address - Phone:303-406-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO027518146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty