Individual
SAMANTHA JOSEPHINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1733 VINE ST, DENVER, CO 80206-1119
(303) 504-1037
(303) 377-1105
Mailing address
7247 W KENTUCKY DR APT A, LAKEWOOD, CO 80226-4418
(720) 312-0363
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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