Individual
ANDREW KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCPD
Contact information
Practice address
2425 S COLORADO BLVD STE 160, DENVER, CO 80222-5937
(303) 669-3771
Mailing address
2425 S COLORADO BLVD STE 160, DENVER, CO 80222-5937
(303) 669-3771
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C50457
CO
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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