Individual
KRISTIN MARIE FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0186176
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
PRIMARY CARE
CO
Enumeration date
10/02/2017
Last updated
06/16/2018
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