Most Relevant Information
Provider Data
| NPI Number: | 1003509134 |
| Provider Name: | JOHN WALTER KELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | IN.0002009559 |
Most Important Dates
| Enumeration Date: | 06/02/2023 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
120 N BROADWAY
DENVER
CO
802033917
Practice Location Phone/Fax
| Phone: | 3037220771 |
| Fax: |
Provider Mailing Location
828 N BROADWAY APT 450
DENVER
CO
802032789
Provider Mailing Phone/Fax
| Phone: | 3176907901 |
| Fax: |