Cleary, Kelli Ann
Cleary, Kelli Ann is an individual health care provider with primary practice located at 200 Exempla Cir , Lafayette CO 80026-3370. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Cleary, Kelli Ann can be contacted via phone (866) 898-7136.Contact Information
Primary practice address
200 Exempla Cir
Lafayette CO 80026-3370
Phone: (866) 898-7136
Fax: (616) 975-9827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 125-049393 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 46221 | Colorado |
Profile Details
| NPI number | 1518178011 |
|---|---|
| LBN Legal business name | Cleary, Kelli Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 12th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518178011 | NPPES |
| Colorado | MEDICAID | 10074210 |
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