Kelly, Maureen E

Kelly, Maureen E is an individual health care provider with primary practice located at 4491 Bent Brothers Blvd. , Colorado City CO 81019-9990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kelly, Maureen E can be contacted via phone (719) 595-7525.

Contact Information

Primary practice address
4491 Bent Brothers Blvd. Colorado City CO 81019-9990
Phone: (719) 595-7525
Fax: (719) 595-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 88 214 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45238 Colorado

Profile Details

NPI number 1518943554
LBN Legal business name Kelly, Maureen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Feb 17th, 2016 - about 10 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 1518943554 NPPES
New Mexico MEDICAID 27064
New Mexico MEDICAID 46323040

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