Most Relevant Information
Provider Data
| NPI Number: | 1003683111 |
| Provider Name: | KEVIN LAW PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 0999331 |
Most Important Dates
| Enumeration Date: | 12/08/2023 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
1006 N 5TH ST
GRAND JUNCTION
CO
815017561
Practice Location Phone/Fax
| Phone: | 9706404697 |
| Fax: |
Provider Mailing Location
1006 N 5TH ST
GRAND JUNCTION
CO
815017561
Provider Mailing Phone/Fax
| Phone: | 9706404697 |
| Fax: |