Clarisa Ballarta Colchado, FNP

NPI #1013552140 in Fort Knox, Kentucky

Provider Information

NPI Number: 1013552140
Entity Type: Individual
Name: Clarisa Ballarta Colchado, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: FNP
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 433 192ND TANK BN ROAD
Address 2: BLDG 853
City: Fort Knox
State: Kentucky
ZIP Code: 40121-5111
Phone: (502) 624-3149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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