REVIVAL SKIN ARTISTRY NPI 1669254710

NPI Information

  • NPI: 1669254710
  • Provider Name: REVIVAL SKIN ARTISTRY
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Organization
  • Address: 10080 W 26TH AVE
    LAKEWOOD, CO
    ZIP 80215
  • Phone: (720) 483-2006

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NPI Details

REVIVAL SKIN ARTISTRY is a specialist technologist other in Lakewood, CO. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. REVIVAL SKIN ARTISTRY NPI is 1669254710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10080 W 26TH AVE
LAKEWOOD, CO
ZIP 80215-429
Phone: (720) 483-2006

The provider's authorized official is Carly D Kesner .
The authorized official title is Owner and has the following contact phone number (720) 483-2006.

The enumeration date for this NPI number is 10/13/2023 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246Z00000XSpecialist/Technologist, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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