Individual
KATHERINE KELTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6915 TUTT BLVD, SUITE 110B, COLORADO SPRINGS, CO 80923-3591
(719) 445-1292
(719) 591-6486
Mailing address
1065 NE 125TH STREET, SUITE 409, NORTH MIAMI, FL 33161-5834
(888) 852-6672
(305) 503-7363
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.1617420
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0992076-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21770085
—
CO
Enumeration date
07/22/2015
Last updated
01/18/2019
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