Individual
KELLY C JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8175 SHERIDAN BLVD UNIT N, ARVADA, CO 80003-1928
(303) 557-0855
Mailing address
8175 SHERIDAN BLVD UNIT N, ARVADA, CO 80003-1928
(303) 557-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0038762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012280
KAISER-COMMERCIAL NUMBER
—
05
—
83538526
—
CO
Enumeration date
02/27/2007
Last updated
05/15/2025
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