Kelby F. Bethards Md Prof. Llc | |
1017 Robertson St Fort Collins CO 80524-3926 | |
(970) 472-5000 | |
(970) 490-6161 |
Full Name | Kelby F. Bethards Md Prof. Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1017 Robertson St, Fort Collins, Colorado |
Authorized Official Name and Position | Kelby F. Bethards (OWNER) |
Authorized Official Contact | 9704725000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelby F. Bethards Md Prof. Llc 1017 Robertson St Fort Collins CO 80524-3926 Ph: (970) 472-5000 | Kelby F. Bethards Md Prof. Llc 1017 Robertson St Fort Collins CO 80524-3926 Ph: (970) 472-5000 |
NPI Number | 1720067036 |
---|---|
Provider Enumeration Date | 01/13/2006 |
Last Update Date | 03/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720067036 | NPI | - | NPPES |
47802871 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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