Individual
KELLY CHRISTINE D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1746 COLE BLVD STE 100, LAKEWOOD, CO 80401-3208
(303) 914-8800
Mailing address
1746 COLE BLVD STE 100, LAKEWOOD, CO 80401-3208
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-39662
KS
2085R0202X
Diagnostic Radiology Physician
29787
NE
2085R0202X
Diagnostic Radiology Physician
Primary
57920
CO
2085R0202X
Diagnostic Radiology Physician
75439
GA
2085R0202X
Diagnostic Radiology Physician
MD14485
RI
2085R0202X
Diagnostic Radiology Physician
MD18982
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09135090
—
CO
01
—
111257096
MEDICARE PIN
KS
01
—
558563YQ33
MEDICARE PIN
CO
01
—
558563YQN9
MEDICARE PIN
CO
01
—
558563YQPG
MEDICARE PIN
CO
01
—
558563ZLJ3
MEDICARE PIN
CO
01
—
558563ZNTB
MEDICARE PIN
CO
01
—
KA3249087
MEDICARE PIN
KS
01
—
NA1214109
MEDICARE PIN
NE
01
—
NA1215110
MEDICARE PIN
NE
01
—
NA2517087
MEDICARE PIN
NE
Enumeration date
05/04/2011
Last updated
09/23/2025
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