Individual
KELLY CHASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3555 LUTHERAN PKWY STE 340, WHEAT RIDGE, CO 80033-6039
(303) 996-6005
Mailing address
PO BOX 3, WINTER PARK, CO 80482-0003
(970) 726-1135
(970) 726-9615
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
121564
CO
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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