Individual
KELLY BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5377 MANHATTAN CIR STE 200, BOULDER, CO 80303-4345
(303) 225-6625
Mailing address
733 13TH ST, BOULDER, CO 80302-7501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995360-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000200177
—
CO
Enumeration date
08/02/2020
Last updated
01/27/2023
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