Healthcare Provider Details

I. General information

NPI: 1871666172
Provider Name (Legal Business Name): KELLY H LOWTHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 970-980-7235
  • Fax:
Mailing address:
  • Phone: 970-980-7235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number45095
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: