Individual
KELLY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27608
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276088
—
CO
Enumeration date
08/30/2006
Last updated
09/07/2023
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