Organization
THE LITTLE CLINIC OF COLORADO, LLC
Active
Organization
THE LITTLE CLINIC OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
19711 E SMOKY HILL RD, CENTENNIAL, CO 80015-5194
(303) 459-5634
(303) 459-5635
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165064
—
CO
Enumeration date
07/09/2019
Last updated
10/22/2025
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