Individual
KALLI BERMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W LAKE ST, FORT COLLINS, CO 80524-4111
(970) 491-7121
Mailing address
2715 ALAN ST, FORT COLLINS, CO 80524-3608
(406) 533-5630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1625349
CO
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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