Most Relevant Information
Provider Data
| NPI Number: | 1003054859 |
| Provider Name: | KATHLEEN RYE NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 83962 |
Most Important Dates
| Enumeration Date: | 02/02/2009 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
234 CODY LN
BASALT
CO
816219106
Practice Location Phone/Fax
| Phone: | 9709276650 |
| Fax: | 9709276659 |
Provider Mailing Location
PO BOX 3768
234 CODY LANE
BASALT
CO
816213768
Provider Mailing Phone/Fax
| Phone: | 9709276650 |
| Fax: | 9709276659 |