Individual
DR. KELLI R JANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
44108
CO
207RP1001X
Pulmonary Disease Physician
Primary
44108
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
44108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79252826
—
CO
Enumeration date
01/17/2006
Last updated
07/21/2022
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