Individual
DR. KELLY A. C. BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
28 S WASHINGTON ST, CORTEZ, CO 81321-3738
(970) 715-1080
(970) 638-2401
Mailing address
28 S WASHINGTON ST, CORTEZ, CO 81321-3738
(970) 715-1080
(970) 638-2401
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
42863
CO
207Q00000X
Family Medicine Physician
42863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215087499
NPI
CO
Enumeration date
01/11/2007
Last updated
08/20/2025
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