Individual
SHALOM KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10065 E HARVEST AVE STE 400, DENVER, CO 80231
(303) 614-1400
Mailing address
1146 OPAL ST UNIT 203, BROOMFIELD, CO 80020-7054
(303) 656-8052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171208
CO
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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