Provider Demographics
NPI:1982228367
Name:SHEETZ, KELSEY BRANCH (RD)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:BRANCH
Last Name:SHEETZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 S 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2730
Mailing Address - Country:US
Mailing Address - Phone:303-886-2131
Mailing Address - Fax:
Practice Address - Street 1:355 S 33RD AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2730
Practice Address - Country:US
Practice Address - Phone:303-886-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86108277133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered