Individual
KELLI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0030187
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
30187
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301878
—
CO
01
—
930004965
RR
CO
Enumeration date
08/06/2006
Last updated
04/30/2021
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