Individual
MS. KELLY JADE KLYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
7645 RICKSHAW DR, COLORADO SPRINGS, CO 80920-4010
(443) 681-0563
Mailing address
7645 RICKSHAW DR, COLORADO SPRINGS, CO 80920-4010
(443) 681-0563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022089754
CO
363LP2300X
Primary Care Nurse Practitioner
2022089754
CO
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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