Kelby F. Bethards MD Prof. LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KELBY F. BETHARDS MD PROF. LLC

Practice address

1017 Robertson St
Fort Collins, CO 80524-3926

Phone

(970) 472-5000

Fax

(970) 490-6161

NPI assigned

Jan 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelby F. Bethards, M.D.

Title

Owner

Phone

(970) 472-5000

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1720067036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ROBERTSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243926",
            "telephone_number": "970-472-5000",
            "fax_number": "970-490-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ROBERTSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243926",
            "telephone_number": "970-472-5000",
            "fax_number": "970-490-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELBY F. BETHARDS MD PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BETHARDS",
        "authorized_official_first_name": "KELBY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-472-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47802871",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micheal Kehl, ACSW LCSW MSW
• Lorrie Kehmeier, P.A.
• Melani Keith
• Melody Keith, IOMT
• Terrell Keith
• Stephen Reed Kellam
• Jinger Kellams, DC
• Eric William Kelleher, PA-C
• Allison Keller
• Richard H Keller, DDS,MPS

• Primary Care Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.