Individual
MS. LISA ANN KEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129303
CO
163WC0400X
Case Management Registered Nurse
Primary
RN-80779
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
01/08/2008
Last updated
12/04/2014
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