Pettijohn, Kelly Joy

Pettijohn, Kelly Joy is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is her primary health care specialty. Pettijohn, Kelly Joy can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 N Franklin St Denver CO 80205
Phone: (303) 338-4545
Fax: (303) 344-7715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X DR.0060683 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Colorado

Profile Details

NPI number 1023451176
LBN Legal business name Pettijohn, Kelly Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Mar 29th, 2021 - about 5 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 1023451176 NPPES
Colorado Other 028886 KAISER COMMERCIAL NUMBER

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