Individual provider · Type 1 NPI

Shannon Kelly

Student in an Organized Health Care Education/Training Program · Arvada, CO

NPI number 1245052042 Active

Practice location

7275 Kipling St
Arvada, CO 80005-3857

Mailing address

948 Chambers Ave, PO Box 740
Eagle, CO 81631

Other practice locations

  • 948 Chambers Ave, PO Box 740, Eagle, CO 81631 · (970) 328-1024

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

17 other providers at this address

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About NPI 1245052042

Shannon Kelly's National Provider Identifier is 1245052042, issued on Oct 31, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arvada, CO. The record was last updated on Oct 23, 2026.