Individual
KORTNEY SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
CO-165, RYE, CO 81069
(719) 489-2271
Mailing address
8083 CO-165, RYE, CO 81069
(719) 489-2271
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000018984
CO
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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