Individual
CASSANDRA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3131
(720) 202-8005
Mailing address
1465 STELLA DR, COLORADO SPRINGS, CO 80921-2249
(720) 202-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1625418
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625418
RN LICENSE NUMBER
CO
Enumeration date
05/11/2022
Last updated
05/11/2022
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