Individual
KELLY MARIE EVANS-HULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1721 E 19TH AVE STE 520, DENVER, CO 80218-1243
(720) 754-8134
(303) 869-2258
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(720) 754-8134
(303) 869-2258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0055106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99688310
—
CO
Enumeration date
04/01/2012
Last updated
08/13/2015
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