Organization
KRS HEALTH LLC
Active
Other names
AquafyIV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAM HORTON NP (MEDICAL DIRECTOR AND OWNER)
(623) 363-1185
Entity
Organization
Contact information
Practice address
700 KEN PRATT BLVD STE 106, LONGMONT, CO 80501-6454
(623) 363-1185
Mailing address
3362 DOVETAIL DR, BERTHOUD, CO 80513-8931
(623) 363-1185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902278708
NPI
—
Enumeration date
10/06/2020
Last updated
11/21/2020
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