Individual
MICHELE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1205 ONEIDA ST, DENVER, CO 80220-2944
(303) 861-6792
Mailing address
1825 MARION ST, DENVER, CO 80218-1122
(303) 861-9792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07025125
—
CO
Enumeration date
10/25/2006
Last updated
03/21/2008
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