Individual
KELLY ELIZABETH FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-6031
Mailing address
2262 VALENTIA ST, DENVER, CO 80238-3057
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
55197
CO
Other
Enumeration date
04/23/2012
Last updated
06/28/2019
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