Cushing, Kelly Jean

Cushing, Kelly Jean is an individual health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1133. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Cushing, Kelly Jean can be contacted via phone (303) 415-7610.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1133
Phone: (303) 415-7610
Fax: (303) 415-7618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0056124 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0056124 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO27740 Oregon

Profile Details

NPI number 1710910831
LBN Legal business name Cushing, Kelly Jean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Nov 9th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710910831 NPPES
Oregon MEDICAID 500622186

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