Individual provider · Type 1 NPI

Kelly C. Mack

Nurse Practitioner · Denver, CO

NPI number 1982742888 Active

Practice location

1800 Williams St, Suite 200
Denver, CO 80218-1234

Fax (303) 830-8633

Mailing address

7951 E Maplewood Ave, Suite 300
Greenwood Village, CO 80111-4723

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71234 (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982742888

Kelly C. Mack's National Provider Identifier is 1982742888, issued on Feb 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Denver, CO. The record was last updated on Jul 8, 2007.