NPI 1003509134

John Walter Kelly

Practitioner Pharmacist Denver, CO

Practice location

Address: 120 N Broadway, Denver, CO 80203-3917
Phone: (303) 722-0771
Mailing address: 828 N Broadway APT 450, Denver, CO 80203-2789

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence IN.0002009559 (CO)

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence IN.0002009559 (CO)

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Registry record

NPI: 1003509134
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2023
Record last updated: 15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.