Individual
MARY M KELLEY-ANDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5257 S WADSWORTH BLVD, LITTLETON, CO 80123-2228
(303) 743-5855
Mailing address
5190 W BINGHAM PL, DENVER, CO 80219-2283
(303) 936-0523
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010722
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
07/08/2007
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