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NPI Code Detail

MEDICARE: DR. AMY TALBOTT KELMENSON MD

MEDICARE: DR. AMY TALBOTT KELMENSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician49832CO

General Provider Information

NPI Number : 1790996437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY TALBOTT KELMENSON MD
Provider Business Mailing Address
First Line : 1666 S UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80210-2853
Country : US
Telephone Number : 303-320-1777
Fax Number : 303-733-9219
Provider Business Practice Location Address
First Line : 1666 S UNIVERSITY BLVD
Second Line :
City : DENVER
State : CO
Zip : 80210-2853
Country : US
Telephone Number : 303-320-1777
Fax Number : 303-733-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 12/26/2013

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