Individual
DR. KELLY ANN MANDAGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
892 W SOUTH BOULDER RD, LOUISVILLE, CO 80027-2453
(303) 586-5200
(303) 586-5201
Mailing address
892 W SOUTH BOULDER RD, LOUISVILLE, CO 80027-2453
(303) 586-5200
(303) 586-5201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45001
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
45001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01159305
—
CO
05
—
81287895
—
CO
Enumeration date
12/13/2006
Last updated
07/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us