Individual
KELLI J NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
225 S UNION BLVD, SECOND FLOOR, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
(719) 344-7830
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
196714
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280813YKRD
MEDICARE NUMBER
CO
05
—
42888361
—
CO
Enumeration date
04/01/2009
Last updated
04/04/2017
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