Individual
KELLY CELESTE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1657498
CO
363L00000X
Nurse Practitioner
Primary
APN.0997934-NP
CO
Other
Enumeration date
03/06/2020
Last updated
11/04/2022
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