Individual
KIM TRACI REEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
1111 86TH AVE UNIT B207, GREELEY, CO 80634-9085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0172427
CO
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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