MEDICARE: DR. CARLY E HURLEY M.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	207R00000X	Internal Medicine Physician	59531	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	028706	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1912386582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLY E HURLEY M.D.

Provider Business Mailing Address
First Line	:	1805 SHEA CENTER DR STE 450
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2255
Country	:	US
Telephone Number	:	303-357-2559
Fax Number	:	720-828-7901

Provider Business Practice Location Address
First Line	:	9135 RIDGELINE BLVD STE 190
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2395
Country	:	US
Telephone Number	:	720-828-7755
Fax Number	:	720-828-7901

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

Provider Enumeration Date	:	05/28/2015
Last Update Date	:	09/16/2025

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Directions to “ DR. CARLY E HURLEY M.D.” Practice Location

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