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General NPI Number Information
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NPI Number | 1992500508
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Entity Type | Individual
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Provider Name | KELLY KEENAHAN DPT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 22 S ADAMS ST
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City | DENVER
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State | CO
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Zip | 80209-2908
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Country | US
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Telephone | 303-399-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 2072 S CORONA ST
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City | DENVER
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State | CO
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Zip | 80210-4123
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Country | US
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Telephone | 585-301-7008
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PTL.0016054
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License Number State | CO
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