Individual
DR. KELLI ANN CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(866) 898-7136
(616) 975-9827
Mailing address
DEPT 1265, DENVER, CO 80256-0001
(720) 470-2236
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-049393
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
46221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10074210
—
CO
Enumeration date
05/25/2007
Last updated
03/12/2009
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