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Search › Colorado › 101YP2500X

Jacob Kallan

NPI 1528643848 · on the registry since 2021

Practice

Address
1024 S Lemay Ave
Fort Collins, CO 80524
Phone
(970) 495-8020
Fax
(970) 495-7686
Organisation at this address
Summit Pathology
Evergreen Surgical Assist
Poudre Valley Health Care Inc
Poudre Valley Health Care Inc.
Poudre Valley Health Care Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
233

Additional practice sites

  • 2500 Rocky Mountain Ave, Loveland, CO
  • 6767 29th St, Greeley, CO

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado