Individual
ELIZABETH MARIE KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 PROSPECT PKWY STE 110, FORT COLLINS, CO 80525-9707
(970) 377-9401
Mailing address
1208 HILLCREST DR, FORT COLLINS, CO 80521-4245
(970) 209-0889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437631
—
CO
Enumeration date
11/12/2018
Last updated
11/12/2018
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