# STONE MOUNTAIN HEALTHCARE, PC

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

## Provider details

- **NPI number:** 1851779169
- **Authorized official:** DR. ELIZABETH KELTS MD (PRESIDENT)
- **Authorized official phone:** (303) 465-3316

## Contact information

- **Practice address:** 12081 W ALAMEDA PKWY STE 438, LAKEWOOD, CO 80228-2701
- **Practice address phone:** (303) 551-3643
- **Mailing address:** 14774 FENTON ST, BROOMFIELD, CO 80020-6116
- **Mailing address phone:** (303) 465-3316
- **Mailing address fax:** (303) 465-3646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 43943 | CO | Yes |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 07/30/2021