MEDICARE: DR. KELLIE BURNS PSY. D.

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
1	103TC0700X	Clinical Psychologist	PSY5058	CO

General Provider Information

NPI Number	:	1093093684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLIE BURNS PSY. D.

Provider Business Mailing Address
First Line	:	4115 BOARDWALK DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5945
Country	:	US
Telephone Number	:	970-493-4580
Fax Number	:	970-797-2259

Provider Business Practice Location Address
First Line	:	4115 BOARDWALK DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5945
Country	:	US
Telephone Number	:	970-493-4580
Fax Number	:	970-797-2259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	02/01/2023

Similar Medicare Providers

1942405006 — VANESSA SCHNEIDER
Practice Location Address:

4115 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5945

Practice Phone: 970-493-4580
Practice Fax:

1619202769 — BARBARA A. STUTSMAN
Practice Location Address:

4115 BOARDWALK DR UNIT 100
FORT COLLINS, CO
80525-5945

Practice Phone: 970-690-7450
Practice Fax:

1548591878 — LISA PENDLETON M.S.
Practice Location Address:

4115 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5945

Practice Phone: 970-493-4580
Practice Fax: 970-797-2859

1467733121 — JENNIFER REED M.A., M.A.,
Practice Location Address:

4115 BOARDWALK DR , SUITE 200
FORT COLLINS, CO
80525-5945

Practice Phone: 970-217-1792
Practice Fax:

1013267749 — MONICA ROWELL LLC
Practice Location Address:

4115 BOARDWALK DR , SUITE 100
FORT COLLINS, CO
80525-5945

Practice Phone: 970-493-4580
Practice Fax:

1609115518 — SYLWIA E GUTIERREZ MA, LPC
Practice Location Address:

4115 BOARDWALK DR UNIT 100
FORT COLLINS, CO
80525-5945

Practice Phone: 970-493-4580
Practice Fax:

Directions to “ DR. KELLIE BURNS PSY. D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.