Individual
DR. ROBERT R. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 PONCHA AVE, ALAMOSA, CO 81101-2160
(719) 937-5179
Mailing address
110 PONCHA AVE, ALAMOSA, CO 81101-2160
(719) 937-5179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
CO 20070
CO
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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