Individual
MR. KELLY FAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
12941 S PRINCESS CIR, BROOMFIELD, CO 80020-5451
(303) 351-1068
Mailing address
12941 S PRINCESS CIR, BROOMFIELD, CO 80020-5451
(303) 351-1068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/18/2024
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