Individual
KALI ELIZABETH KOUANCHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3555 LUTHERAN PKWY STE 340, WHEAT RIDGE, CO 80033-6039
(303) 996-6005
(303) 420-8831
Mailing address
3555 LUTHERAN PKWY STE 340, WHEAT RIDGE, CO 80033-6039
(303) 996-6005
(303) 420-8831
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0994669NP
CO
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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