Individual
KEVIN LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1006 N 5TH ST, GRAND JUNCTION, CO 81501-7561
(970) 640-4697
Mailing address
1006 N 5TH ST, GRAND JUNCTION, CO 81501-7561
(970) 640-4697
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0999331
CO
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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