Individual
MRS. KELLEY ELIZABETH SMITH BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3225 INTERNATIONAL CIRCLE SUITE 220, COLORADO SPRINGS, CO 80910
(719) 694-8956
(719) 418-3578
Mailing address
3225 INTERNATIONAL CIRCLE SUITE 220, COLORADO SPRINGS, CO 80910
(719) 694-8956
(719) 418-3578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0000381-C-NP
CO
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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