Individual
KELLY FITZHARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9777 S YOSEMITE ST STE 200, LONE TREE, CO 80124-3115
(303) 792-5665
Mailing address
9777 S YOSEMITE ST STE 200, LONE TREE, CO 80124-3115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0332849
CO
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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