Individual
KALYN FAHLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 AVIS AVE, PUEBLO, CO 81005-3102
(970) 999-4714
Mailing address
3112 DRAGONFLY CT, CASTLE ROCK, CO 80109-8668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1634718
CO
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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