Provider Demographics
NPI:1508595059
Name:BUNDY, KELSEY L (DNP- CNM)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:L
Last Name:BUNDY
Suffix:
Gender:F
Credentials:DNP- CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 E PROSPECT RD STE 160
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9098
Mailing Address - Country:US
Mailing Address - Phone:702-214-9779
Mailing Address - Fax:970-221-4980
Practice Address - Street 1:2620 E PROSPECT RD STE 160
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-9098
Practice Address - Country:US
Practice Address - Phone:970-221-4977
Practice Address - Fax:970-221-4980
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0100866-C-CNM176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife