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Individual
KELLY LYNN COMMON
Active
Individual
KELLY LYNN COMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0048539
CO
207R00000X
Internal Medicine Physician
OT012538
PA
Other
Enumeration date
07/21/2008
Last updated
11/23/2020
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