Douglas, Kellie Ann

Douglas, Kellie Ann is an individual health care provider with primary practice located at 4545 E 9Th Ave Ste 260 , Denver CO 80220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Douglas, Kellie Ann can be contacted via phone (303) 320-7366.

Contact Information

Primary practice address
4545 E 9Th Ave Ste 260 Denver CO 80220
Phone: (303) 320-7366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5007234 North Carolina

Profile Details

NPI number 1063840171
LBN Legal business name Douglas, Kellie Ann
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2013
Last updated Jul 22nd, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063840171 NPPES
Colorado Other 993170 NURSE PRACTITIONER - APN LICENSE

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