Individual
ERIC J KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 743-5855
Mailing address
5608 S QUATAR CT, CENTENNIAL, CO 80015-6005
(303) 693-5592
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
119975
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012210
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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