Organization
KELBY F. BETHARDS MD PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY F. BETHARDS M.D. (OWNER)
(970) 472-5000
Entity
Organization
Contact information
Practice address
1017 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 472-5000
(970) 490-6161
Mailing address
1017 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 472-5000
(970) 490-6161
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47802871
—
CO
Enumeration date
01/13/2006
Last updated
03/25/2008
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