Individual
KAELY MARIE SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DIPL. OM, ADS
Contact information
Practice address
1148 W DILLON RD STE 1, LOUISVILLE, CO 80027-1298
(303) 578-0869
Mailing address
240 PEAR LAKE WAY, ERIE, CO 80516-2637
(720) 308-9737
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2647
CO
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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