Individual
KENNETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3412 S JEBEL CT, AURORA, CO 80013-9020
(720) 379-6572
(866) 538-7337
Mailing address
18121 E HAMPDEN AVE UNIT C, AURORA, CO 80013-3591
(720) 379-6572
(866) 538-7337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23173
CO
Other
Enumeration date
01/11/2013
Last updated
02/15/2016
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