Individual
KELLY B LINNEBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 8TH STREET, HUGO, CO 80821-8082
(719) 743-2526
(719) 743-2482
Mailing address
PO BOX 125, HUGO, CO 80821-0125
(719) 743-2526
(719) 743-2482
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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