Kelly Patrick Rose

NPI 1104044890 - Counselor - 101YM0800X

NPI Details
NPI 1104044890
Gender Male
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1333 IRIS AVE
BOULDER CO, 80304-2226, US
Phone (303) 413-6233
Fax
Business Location
960 LARAMIE BLVD UNIT H
BOULDER CO, 80304-4782, US
Phone (303) 246-0487
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Kelly Patrick Rose NPI is 1104044890, taxonomy code is 101YM0800X Kelly Patrick Rose physically located at 1333 Iris Ave, Boulder CO, 80304-2226. NPI Number Kelly Patrick Rose has the Individual type.

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1104044890 NPI number is provided on an as is basis without warranty of any kind. 1104044890 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Patrick Rose are for informational purposes only.