Individual
KELLY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7307 S REVERE PKWY STE 201, CENTENNIAL, CO 80112-3931
(720) 456-3989
Mailing address
6569 S OAK CIR, LITTLETON, CO 80127-5859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0004169
CO
363LF0000X
Family Nurse Practitioner
Primary
AP127219
TX
Other
Enumeration date
01/14/2015
Last updated
07/09/2024
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