Marc S Kelly Md Pc

LBN: Marc S Kelly Md Pc
Marc S Kelly Md Pc is an health care organization with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Marc S Kelly Md Pc can be contacted via phone (719) 457-6200, or through Kelly, Marc Stephen via phone (719) 457-6200.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 457-6200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Marc Stephen Doctor of Medicine (MD)
Phone: (719) 457-6200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1255661542
LBN Legal business name Marc S Kelly Md Pc
DBA Doing business as
Authorized official Kelly, Marc Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Jul 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255661542 NPPES
Colorado MEDICAID 1620053

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