Organization
KEYSTONE HEALTH & WELLNESS CENTER INC
Active
Other names
Keystone Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN JOHONNESSON (PRESIDENT)
(303) 709-4805
Entity
Organization
Contact information
Practice address
8765 E ORCHARD RD STE 702, GREENWOOD VILLAGE, CO 80111-5009
(303) 738-0390
(866) 238-2721
Mailing address
8765 E ORCHARD RD STE 702, GREENWOOD VILLAGE, CO 80111-5009
(303) 738-0390
(866) 238-2721
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000160975
—
CO
Enumeration date
09/17/2014
Last updated
07/19/2019
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