Individual
RENEE J KALLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
(303) 344-7715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89572
CO
363L00000X
Nurse Practitioner
Primary
3324
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018952
KAISER COMMERCIAL NUMBER
CO
05
—
26979250
—
CO
Enumeration date
02/27/2007
Last updated
05/04/2021
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