Individual
KELLY BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0998834-NP
CO
Other
Enumeration date
06/28/2023
Last updated
07/18/2023
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