Individual
DR. GREGORY F KELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41564
CO
2084P0800X
Psychiatry Physician
A97506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023459
KAISER COMMERCIAL NUMBER
CO
05
—
97154024
—
CO
Enumeration date
11/22/2006
Last updated
04/02/2021
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