Kellie L Worden

NPI 1790919710 - Community Health Worker - 172V00000X

NPI Details
NPI 1790919710
Gender Female
Enumeration Date 05/05/2009
Last Updated 05/05/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3225 INDEPENDENCE RD
CANON CITY CO, 81212-9380, US
Phone (719) 275-2351
Fax (719) 269-9386
Business Location
3225 INDEPENDENCE RD
CANON CITY CO, 81212-9380, US
Phone (719) 275-2351
Fax (719) 269-9386
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Kellie L Worden NPI is 1790919710, taxonomy code is 172V00000X Kellie L Worden physically located at 3225 Independence Rd, Canon City CO, 81212-9380. NPI Number Kellie L Worden has the Individual type.

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1790919710 NPI number is provided on an as is basis without warranty of any kind. 1790919710 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie L Worden are for informational purposes only.