Individual
KELLY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11485 HIGHWAY 65, ECKERT, CO 81418-5213
(720) 626-3610
Mailing address
11485 HIGHWAY 65, ECKERT, CO 81418-5213
(720) 626-3610
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0991030-NP
CO
Other
Enumeration date
02/10/2014
Last updated
02/06/2015
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