Organization
SOUTH DENVER OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LENNON MD (MD/OWNER)
(720) 273-3983
Entity
Organization
Contact information
Practice address
7780 S BROADWAY STE 280, LITTLETON, CO 80122-2633
(303) 738-1100
(303) 738-1310
Mailing address
7780 S BROADWAY, SUITE 280, LITTLETON, CO 80122-2648
(303) 738-1100
(303) 738-1310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57256047
—
CO
Enumeration date
12/16/2014
Last updated
11/13/2020
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