Organization
DAVID C KELSALL MD PC
Active
Organization
DAVID C KELSALL MD PC
Active
Other names
Rocky Mountain Ear Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C KELSALL MD (MEDICAL DOCTOR)
(303) 783-9220
Entity
Organization
Contact information
Practice address
601 E HAMPDEN AVE, SUITE 430, ENGLEWOOD, CO 80113-3781
(303) 783-9220
(303) 806-6292
Mailing address
601 E HAMPDEN AVE, SUITE 430, ENGLEWOOD, CO 80113-3781
(303) 783-9220
(303) 806-6292
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
28228
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282284
—
CO
01
—
104545800
MEDICAID
WY
01
—
P00069393
RAILROAD MEDICARE
—
Enumeration date
09/12/2005
Last updated
12/23/2020
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