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Individual

KELLY JOHANNA PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3747
(303) 289-6962
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3747
(303) 289-6962

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN-199009
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN-0991642-NP
CO

Other

Enumeration date
02/14/2011
Last updated
05/23/2016
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