Individual
SARA E KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
(719) 327-5660
Mailing address
631 W MONUMENT ST, COLORADO SPRINGS, CO 80905-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71379
CO
363LP2300X
Primary Care Nurse Practitioner
71379
CO
Other
Enumeration date
04/11/2006
Last updated
03/28/2012
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