Individual
SAMANTHA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4036 RIDGE DR, PUEBLO, CO 81008-1720
(719) 251-1594
(514) 236-8737
Mailing address
4036 RIDGE DR, PUEBLO, CO 81008-1720
(719) 251-1594
(514) 236-8737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95034970
CA
363LF0000X
Family Nurse Practitioner
337690
AZ
363LF0000X
Family Nurse Practitioner
95006818
CA
363LF0000X
Family Nurse Practitioner
Primary
APN.0995461-NP
CO
Other
Enumeration date
06/28/2017
Last updated
04/21/2026
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