Individual
RACHEL KELLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1659099
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0996897-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000197155
—
CO
Enumeration date
07/13/2021
Last updated
06/10/2025
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