Individual
KELLI JEAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
165 S. UNION BLVD., STE #800, LAKEWOOD, CO 80228
(303) 988-2680
(303) 986-8057
Mailing address
1707 COLE BLVD., STE #100, GOLDEN, CO 80401
(303) 716-8018
(303) 763-5495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18170340
—
CO
Enumeration date
03/05/2010
Last updated
02/16/2017
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