Individual
KERRY A PEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37222
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010840
KAISER COMMERCIAL NUMBER
CO
05
—
40754596
—
CO
Enumeration date
02/27/2007
Last updated
07/16/2012
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