Kelly, Heather
Kelly, Heather is an individual health care provider with primary practice located at 3701 S Broadway , Englewood CO 80113-3611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Heather can be contacted via phone (303) 761-1977.Contact Information
Primary practice address
3701 S Broadway
Englewood CO 80113-3611
Phone: (303) 761-1977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-990190 | Colorado |
Profile Details
| NPI number | 1689956005 |
|---|---|
| LBN Legal business name | Kelly, Heather |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Sep 25th, 2012 - about 12 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 | 1689956005 | NPPES |
| Colorado | MEDICAID | 42151244 |
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