Individual
KELBY F BETHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2127 E HARMONY RD, STE 140, FORT COLLINS, CO 80528-3406
(970) 297-6250
(970) 297-6260
Mailing address
2127 E HARMONY RD, STE 140, FORT COLLINS, CO 80528-3406
(970) 297-6250
(970) 297-6260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783785
—
CO
Enumeration date
01/13/2006
Last updated
06/12/2014
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