Individual
GREGORY E KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 PATTERSON RD UNIT 2, GRAND JUNCTION, CO 81505-1027
(970) 243-9000
(970) 245-4936
Mailing address
2460 PATTERSON RD UNIT 2, GRAND JUNCTION, CO 81505-1027
(970) 243-9000
(970) 245-4936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37658
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49109561
—
CO
Enumeration date
08/16/2006
Last updated
03/07/2023
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