Individual
MRS. KELLY WAECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 HUMBOLDT ST, DENVER, CO 80218-1614
(303) 504-1650
Mailing address
2835 W 4TH AVE, DENVER, CO 80219-1614
(720) 962-4724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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