Individual
DR. KELLY PATRICIA FERRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4560
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101246553
VA
207R00000X
Internal Medicine Physician
P5359
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
DR.0062197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322694301
—
TX
01
—
322694302
MEDICAID CSHCN
TX
Enumeration date
06/12/2008
Last updated
03/18/2025
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