Organization
WESTERN COLORADO LUNG CENTER, PROFESSIONAL L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A KELLEY M.D. (OFFICE ADMINISTRATOR)
(970) 245-4810
Entity
Organization
Contact information
Practice address
1050 WELLINGTON AVENUE, GRAND JUNCTION, CO 81501
(970) 245-4810
Mailing address
1050 WELLINGTON AVENUE, GRAND JUNCTION, CO 81501
(970) 245-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46134301
—
CO
Enumeration date
10/03/2006
Last updated
05/20/2008
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