Knudson, Kelly P
Knudson, Kelly P is an individual health care provider with primary practice located at 300 Exempla Cir Suite 360, Lafayette CO 80026-3397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Knudson, Kelly P can be contacted via phone (303) 689-6560.Contact Information
Primary practice address
300 Exempla Cir Suite 360
Lafayette CO 80026-3397
Phone: (303) 689-6560
Fax: (303) 689-6550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 46629 | Colorado |
Profile Details
| NPI number | 1104972884 |
|---|---|
| LBN Legal business name | Knudson, Kelly P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Oct 27th, 2010 - 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 | 1104972884 | NPPES |
| Colorado | MEDICAID | 46630597 | |
| Colorado | Other | P00727533 |
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