Individual
MS. KELLY J COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 N. GRAND AVE., STE 230, PUEBLO, CO 81003-2731
(719) 595-7778
(719) 562-2097
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
APN.0005411-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0005411-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16206550
—
CO
Enumeration date
12/28/2007
Last updated
10/17/2017
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