Individual
KRISAUNDRA FAY KELTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 660-9817
Mailing address
811 BRYCE DR, COLORADO SPRINGS, CO 80910-3222
(719) 660-9817
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1640772
CO
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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