Individual
KELLY CHRISTINE BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-41146
KS
2085R0202X
Diagnostic Radiology Physician
30633
NE
2085R0202X
Diagnostic Radiology Physician
Primary
58573
CO
2085R0202X
Diagnostic Radiology Physician
MD19569
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
10026277300
—
NE
05
—
10026277400
—
NE
05
—
10026277500
—
NE
05
—
10026277600
—
NE
05
—
10026277700
—
NE
05
—
10026277800
—
NE
01
—
584657YQ33
MEDICARE
CO
01
—
584657YQN9
MEDICARE
CO
01
—
584657YQPG
MEDICARE
CO
01
—
584657ZLJ3
MEDICARE
CO
01
—
584657ZNTB
MEDICARE
CO
05
—
84059792913
—
NE
05
—
84089712600
—
NE
05
—
9000148903
—
CO
01
—
NA1214131
MEDICARE
NE
01
—
NA1215132
MEDICARE
NE
01
—
NA2517104
MEDICARE
NE
Enumeration date
06/28/2012
Last updated
12/07/2022
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