Kelly, Karen
Kelly, Karen is an individual health care provider with primary practice located at 2801 Youngfield St Ste 120, Golden CO 80401-2263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kelly, Karen can be contacted via phone (720) 898-9427.Contact Information
Primary practice address
2801 Youngfield St Ste 120
Golden CO 80401-2263
Phone: (720) 898-9427
Fax: (303) 302-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29388 | Colorado |
Profile Details
| NPI number | 1962409342 |
|---|---|
| LBN Legal business name | Kelly, Karen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Oct 4th, 2013 - 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 | 1962409342 | NPPES |
| Colorado | MEDICAID | 01293885 |
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