Individual
DR. ROBERT T KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4650 SIGNAL TREE DR STE 1200, TIMNATH, CO 80547-4908
(970) 237-7415
(970) 237-7420
Mailing address
4650 SIGNAL TREE DR STE 1200, TIMNATH, CO 80547-4908
(970) 237-7415
(970) 237-7420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0055887
CO
207Q00000X
Family Medicine Physician
TL0005132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175262
—
CO
Enumeration date
05/20/2014
Last updated
05/29/2020
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