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NPI Code Detail

MEDICARE: DR. COURTNEY KELLY DC

MEDICARE: DR. COURTNEY KELLY DC
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
1111N00000XChiropractorCHR.0008431CO

General Provider Information

NPI Number : 1548932353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY KELLY DC
Provider Business Mailing Address
First Line : 2300 S ROCK CREEK PKWY APT 10-203
Second Line :
City : SUPERIOR
State : CO
Zip : 80027-4413
Country : US
Telephone Number : 941-600-7978
Fax Number :
Provider Business Practice Location Address
First Line : 2242 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3804
Country : US
Telephone Number : 303-718-3435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 09/30/2021

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Directions to “ DR. COURTNEY KELLY DC” Practice Location

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