Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | CO 98-47 | CO |
NPI | 1164498911 |
---|---|
Provider Name | Ms. Linda L Kehm |
First Address | Littleton, CO 80128-4678 |
Second Address | Denver, CO 80220-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 08/07/2007 |