Individual
KENNETH CHARLES DAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SPECHT POINT RD STE 127, FORT COLLINS, CO 80525-4311
(970) 493-7733
Mailing address
2638 SAGEBRUSH DR, FORT COLLINS, CO 80525-2458
(662) 299-1982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997759-NP
CO
Other
Enumeration date
05/31/2022
Last updated
12/09/2022
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