Individual
KELLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11750 W 2ND PL STE 160, LAKEWOOD, CO 80228-1724
(303) 430-2700
(303) 430-2770
Mailing address
7951 E MAPLEWOOD AVE STE 350, GREENWOOD VILLAGE, CO 80111-4758
(303) 930-7803
(303) 930-5503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006502
CO
Other
Enumeration date
10/18/2017
Last updated
04/29/2026
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