Kelly Van Lew, RN
Individual provider Active NPI Registered Nurse · Lochbuie, CO
NPI 1467097220 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1467097220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.0186610 (CO)
- Practice address
- 118 Wenatchee St
Lochbuie, CO 80603-9760 - Phone
- (303) 229-3314
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0186610 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.0186610 | CO | Yes |
Addresses
Primary practice location
118 Wenatchee St
Lochbuie, CO 80603-9760
Mailing address
118 Wenatchee St
Lochbuie, CO 80603-9760
Phone (303) 229-3314
Other providers in Lochbuie, CO
- Katelyn Martinez
- Barbara Mutagamba
- Cara Lou Putnam
- Marisela Sanchez
- Tammymarie Victoria Symonds
- Wonderland Way Counseling, LLC
All providers in Lochbuie, CO · Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.