Individual
DR. KELLY Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 LUTHERAN PARKWAY, SUITE #201, WHEAT RIDGE, CO 80033-6010
(303) 603-9800
Mailing address
500 ELDORADO BLVD, SUITE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39876
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
39876
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74434276
—
CO
Enumeration date
05/03/2006
Last updated
04/19/2013
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