Individual
MR. KELLY OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17575 ROAD G, CORTEZ, CO 81321
(970) 560-3080
Mailing address
17575 ROAD G, CORTEZ, CO 81321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0164230
CO
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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