Individual
KELSEY JO HURLEY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-2510
(719) 657-4106
Mailing address
310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-2510
(719) 657-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10040048
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
53811
CO
208D00000X
General Practice Physician
P4525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53811
COLO LICENSE
CO
Enumeration date
06/23/2011
Last updated
09/15/2015
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