Individual
KELLY M TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3303
Mailing address
23194 OTOWI RD, PO BOX 427, INDIAN HILLS, CO 80454
(303) 697-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124255
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017835
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
03/03/2008
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