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Individual

KELSEY LEE KERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 242-0920
Mailing address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 242-0920

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101022527
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598113201
MI
Enumeration date
06/03/2016
Last updated
06/24/2019
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