Individual
MEGAN KELLSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1681931
CO
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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