Kelly Patrick Rose in Boulder - Mental Health
Kelly Patrick Rose - NPI 1104044890
Kelly Patrick Rose is a Mental Health in Boulder, Colorado. Kelly Patrick Rose practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly Patrick Rose is 1104044890. The last update date is 2007-07-08.
Kelly Patrick Rose's current location address is 1333 Iris Ave, Boulder, Colorado. You can contact this provider via phone number 3034136233. The mailing address for Kelly Patrick Rose is 1333 Iris Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Patrick Rose |
|---|---|
| Address | 1333 Iris Ave, Boulder, Colorado |
| Phone Number | 3034136233 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104044890 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1333 Iris Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803042226 |
| Phone Number | 3034136233 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Patrick Rose by the Centers for Medicare & Medicaid Services?
The Kelly Patrick Rose has been assigned the NPI (National Provider Identifier) 1104044890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kelly Patrick Rose?
The Kelly Patrick Rose is situated at 1333 Iris Ave, in the city of Boulder, state of CO, with the zip code 803042226.
What is the Kelly Patrick Rose's specialty and taxonomy code?
The Kelly Patrick Rose's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Kelly Patrick Rose receive its 1104044890 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Patrick Rose was assigned its 1104044890 by the Centers for Medicare & Medicaid Services on 2007-04-20.
As of what date were the details pertaining to Kelly Patrick Rose last refreshed?
The information related to the Kelly Patrick Rose, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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