Individual
KELLY KLOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4674 SNOW MESA DR STE 200, FORT COLLINS, CO 80528-8614
(970) 266-3650
(970) 266-3660
Mailing address
4674 SNOW MESA DR STE 200, FORT COLLINS, CO 80528-8614
(970) 266-3650
(970) 266-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.069264
IL
207R00000X
Internal Medicine Physician
Primary
DR.0064144
CO
208000000X
Pediatrics Physician
125.069264
IL
208000000X
Pediatrics Physician
DR.0064144
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000181978
—
CO
Enumeration date
06/16/2016
Last updated
06/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us