Doctor Name: | WILLIAM CHARLES KELLY |
NPI Number: | 1598076580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | TL-3702 |
Business Practice Address: | 333 W Hampden Ave Suite 600 Englewood, CO - 801102330 |
Business Phone Number: | 3037615646 |
Business Fax Number: | 3037619280 |
Mailing Address: | 333 W Hampden Ave, Suite 600 ENGLEWOOD |
State: | CO |
Postal Code: | 801102330 |
Phone Number: | 3037615646 |
Fax Number: | 3037619280 |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-3702 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |