Individual
CONSUELO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
499 E HAMPDEN AVE STE 130, ENGLEWOOD, CO 80113-2791
(720) 316-8091
Mailing address
4825 S FOX ST, ENGLEWOOD, CO 80110-6503
(702) 629-0196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996346
CO
Other
Enumeration date
05/02/2021
Last updated
05/31/2021
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