Individual
KELLY Z SENNHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2480 YATES ST, DENVER, CO 80212-1349
(303) 831-9252
Mailing address
2480 YATES ST, DENVER, CO 80212-1349
(303) 831-9252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6891A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6891A
STATE MEDICAL LICENSE
WY
Enumeration date
08/10/2007
Last updated
08/23/2007
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