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General NPI Number Information
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NPI Number | 1972198950
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Entity Type | Individual
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Provider Name | KELLY WESTBROOK MS, RDN, LD, CLC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 250 FILLMORE ST UNIT 150
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City | DENVER
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State | CO
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Zip | 80206-5001
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Country | US
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Telephone | 512-693-7045
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Fax | 512-399-9039
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Provider Business Mailing Address
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Address Line | 20254 GOINS DR
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City | MORRISON
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State | CO
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Zip | 80465-2326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 316916
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.09357
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86026461
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License Number State | CO
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