Individual
MAYGAN ELISHIA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7982
(303) 504-7983
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7982
(303) 504-7983
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
M8Y7Y8Y9
CO
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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