MEDICARE: DR. KELSEY YVONNE APPLEBY D.D.S.

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	122300000X	Dentist	DEN00202219	CO

General Provider Information

NPI Number	:	1245673318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELSEY YVONNE APPLEBY D.D.S.

Provider Business Mailing Address
First Line	:	1374 N OGDEN ST
Second Line	:	APT 1
City	:	DENVER
State	:	CO
Zip	:	80218-1928
Country	:	US
Telephone Number	:	720-201-7957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6601
Country	:	US
Telephone Number	:	720-201-7957
Fax Number	:

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

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	01/26/2017

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