Healthcare Provider Details

I. General information

NPI: 1134092372
Provider Name (Legal Business Name): KELLY ELIZABETH JENKINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W OXFORD AVE UNIT G-1
DENVER CO
80236-3112
US

IV. Provider business mailing address

755 E 19TH AVE APT 422
DENVER CO
80203-5530
US

V. Phone/Fax

Practice location:
  • Phone: 303-315-6150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0025376
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: