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Individual

MRS. KRISTEN IVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2855 S LAMAR ST, DENVER, CO 80227-3809
(720) 423-4362
Mailing address
2855 S LAMAR ST, DENVER, CO 80227-3809
(720) 423-4362

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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