Kelby F. Bethards Md Prof. Llc

LBN: Kelby F. Bethards Md Prof. Llc
Kelby F. Bethards Md Prof. Llc is an health care organization with primary practice located at 1017 Robertson St , Fort Collins CO 80524-3926. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kelby F. Bethards Md Prof. Llc can be contacted via phone (970) 472-5000, or through Bethards, Kelby F. via phone (970) 472-5000.

Contact Information

Primary practice address
1017 Robertson St Fort Collins CO 80524-3926
Phone: (970) 472-5000
Fax: (970) 490-6161
Website:
Map and Directions
Authorized official contact:
Name: Bethards, Kelby F. Doctor of Medicine (MD)
Phone: (970) 472-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1720067036
LBN Legal business name Kelby F. Bethards Md Prof. Llc
DBA Doing business as
Authorized official Bethards, Kelby F. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720067036 NPPES
Colorado MEDICAID 47802871

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