Individual
KALENE MEARS ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
188 WALTERS CREEK DR, MONUMENT, CO 80132-7941
(509) 230-8979
Mailing address
188 WALTERS CREEK DR, MONUMENT, CO 80132-7941
(509) 230-8979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0001739-C-NP
CO
Other
Enumeration date
11/13/2019
Last updated
05/14/2021
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