| Buh Spok, Llc | |
|
7200 E Dry Creek Rd Ste G104 Centennial CO 80112-2574 | |
| (720) 515-0581 | |
| Not Available |
| Full Name | Buh Spok, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7200 E Dry Creek Rd Ste G104, Centennial, Colorado |
| Authorized Official Name and Position | Kedri Ladewig (FOUNDER, THERAPIST) |
| Authorized Official Contact | 7205150581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buh Spok, Llc 7200 E Dry Creek Rd Ste G104 Centennial CO 80112-2574 Ph: (720) 515-0581 | Buh Spok, Llc 7200 E Dry Creek Rd Ste G104 Centennial CO 80112-2574 Ph: (720) 515-0581 |
| NPI Number | 1558180596 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 02/24/2026 |
| Certification Date | 02/24/2026 |
| Medicare PECOS PAC ID | 3971033259 |
|---|---|
| Medicare Enrollment ID | O20250217001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558180596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kedri Ladewig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083478630 PECOS PAC ID: 2163952458 Enrollment ID: I20250217001633 |
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