Individual
KELLY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4560
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-4560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007707
IL
363A00000X
Physician Assistant
Primary
PA.0008408
CO
Other
Enumeration date
08/23/2019
Last updated
03/10/2026
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