Individual
TRAVIS AUSTIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5495 ARAPAHOE AVE, BOULDER, CO 80303-1200
(303) 544-3900
Mailing address
9029 S YOSEMITE ST UNIT 2302, LONE TREE, CO 80124-2962
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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