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Individual

DR. JEANETTE YVONNE KELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
7615 W 38TH AVE, SUITE B-107, WHEAT RIDGE, CO 80033-6172
(303) 424-0401
Mailing address
7615 W 38TH AVE, SUITE B-107, WHEAT RIDGE, CO 80033-6172
(303) 424-0401

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5056
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COA105921
GROUP PTAN
CO
Enumeration date
05/08/2007
Last updated
07/21/2011
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