Healthcare Provider Details
I. General information
NPI: 1386609816
Provider Name (Legal Business Name): KELLY TOPF R.N., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
799 E HAMPDEN AVE SUITE #100
ENGLEWOOD CO
80113-2700
US
IV. Provider business mailing address
842 FOREST ST
DENVER CO
80220-4408
US
V. Phone/Fax
- Phone: 303-788-4668
- Fax: 303-788-7325
- Phone: 303-482-5989
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 578939 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 172940 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: