Provider Demographics
NPI:1245422179
Name:REMBOLD, KELLY (PHARM D)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:REMBOLD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 FRANKLIN ST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5401
Mailing Address - Country:US
Mailing Address - Phone:303-318-2250
Mailing Address - Fax:303-318-2252
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:SUITE 390
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5401
Practice Address - Country:US
Practice Address - Phone:303-318-2250
Practice Address - Fax:303-318-2252
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO177701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy