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Individual

KELSEY ALBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7119
Mailing address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7119

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0200853
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN0200853
NURSING LICENSE
CO
Enumeration date
10/08/2014
Last updated
10/08/2014
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