Individual
KETTIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN NC-BC RN
Contact information
Practice address
15460 CANYON GULCH LN UNIT 210, ENGLEWOOD, CO 80112-4705
(303) 901-9163
Mailing address
15460 CANYON GULCH LN UNIT 210, ENGLEWOOD, CO 80112-4705
(303) 901-9163
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
RN.1632281
CO
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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