Individual
KELLON DALE DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
(303) 280-4003
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
(303) 280-4003
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1629332
CO
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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