Individual
JULIA A KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7565
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D757401
EMPLOYEE ID
CO
Enumeration date
02/27/2007
Last updated
10/31/2007
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