# MARC S KELLY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255661542
- **Authorized official:** MARC STEPHEN KELLY MD (PRESIDENT)
- **Authorized official phone:** (719) 457-6200

## Contact information

- **Practice address:** 1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
- **Practice address phone:** (719) 457-6200
- **Mailing address:** PO BOX 673, MONUMENT, CO 80132-0673
- **Mailing address phone:** (719) 457-6200
- **Mailing address fax:** (719) 487-0005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2010
- **Last updated:** 07/01/2020