| Doctor Name: | DR. KELLY A. C. BUSBY |
| NPI Number: | 1215087499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 42863 |
| Business Practice Address: | 33 N Elm St Cortez, CO - 813213105 |
| Business Phone Number: | 9705658556 |
| Business Fax Number: | 9705641134 |
| Mailing Address: | Po Box 1780, CORTEZ |
| State: | CO |
| Postal Code: | 813211780 |
| Phone Number: | 9705658556 |
| Fax Number: | 9705641134 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 42863 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |