Individual
KELLIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2217
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1653561
CO
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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