Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | APN.0005411-NP | CO |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0005411-NP | CO |
NPI | 1487838207 |
---|---|
Provider Name | Ms. Kelly J Colbert |
First Address | Denver, CO 80256-0825 |
Second Address | Pueblo, CO 81003-2731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2007 |
Last Update Date | 17/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16206550 | (05) | CO |