Individual
KELSEY LORRAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6450 S BOSTON ST, GREENWOOD VILLAGE, CO 80111-5336
(951) 312-5657
Mailing address
3850 S EMPORIA WAY, T101, AURORA, CO 80014-7244
(951) 312-5657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0194631
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194631
RN LICENSE
CO
Enumeration date
03/13/2013
Last updated
03/13/2013
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