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Individual

MR. MICHAEL PATRICK KELLY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
425 S CHERRY ST STE 200, DENVER, CO 80246-1229
(303) 524-6126
Mailing address
5711 MESA MOUNTAIN WAY, COLORADO SPRINGS, CO 80923-3450
(303) 915-3655

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16256
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16356
CO
Enumeration date
08/21/2013
Last updated
08/21/2013
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