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Contact Information

KAITLYN E RUNNELS, RN
1801 16TH ST
GREELEY, CO80631-5199
 Phone: 970-810-4121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for KAITLYN E RUNNELS · (Female)

NPI # 1013573997
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/15/2019
Last updated 11/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0994847-NP
  • CO License # 1617123
  • CO Medicaid 1013573997
  • CO Other 0994847-NP APN LICENSE
  • CO Other 1617123 RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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