Individual
KELLEY L REBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
125 RAMPART WAY, SUITE 100, DENVER, CO 80230-6429
(720) 858-7600
(720) 858-7610
Mailing address
125 RAMPART WAY, SUITE 100, DENVER, CO 80230-6429
(720) 858-7600
(720) 858-7610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2111
OK
363A00000X
Physician Assistant
Primary
3760
CO
Other
Enumeration date
01/25/2012
Last updated
01/16/2019
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