Individual
MR. JOSEPH MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19070 E SUNLIGHT WAY, BLDG 1000, AURORA, CO 80011-9574
(720) 847-8652
(720) 847-8645
Mailing address
19070 E SUNLIGHT WAY, MS 7, AURORA, CO 80011-9574
(720) 847-8652
(720) 847-8645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00699
CO
363AM0700X
Medical Physician Assistant
00699
CO
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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