Kelly, Donald R

Kelly, Donald R is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 330, Fort Collins CO 80528-3400. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kelly, Donald R can be contacted via phone (970) 221-5878.

Contact Information

Primary practice address
2121 E Harmony Rd Ste 330 Fort Collins CO 80528-3400
Phone: (970) 221-5878
Fax: (970) 221-3564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 747 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0000747 Colorado

Profile Details

NPI number 1942269873
LBN Legal business name Kelly, Donald R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 26th, 2014 - about 10 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 1942269873 NPPES
Colorado MEDICAID 07007479
Colorado Other P01052988

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