Individual
KELLY ALEXANDER MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34502
NE
2085R0202X
Diagnostic Radiology Physician
37987
AL
2085R0202X
Diagnostic Radiology Physician
63241
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0068544
CO
2085R0202X
Diagnostic Radiology Physician
TL7183
WY
Other
Enumeration date
05/17/2016
Last updated
07/28/2022
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