Individual
KELLEY A PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 S ASPEN ST, NORWOOD, CO 81423
(970) 327-4233
(970) 327-4228
Mailing address
PO BOX 280, NORWOOD, CO 81423-0280
(970) 327-4233
(970) 327-4228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101240604
VA
207Q00000X
Family Medicine Physician
Primary
DR.0066881
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174682124
—
CA
Enumeration date
12/06/2006
Last updated
10/28/2022
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