| Dr Glen David Kelley, MD | |
|
1001 W Mineral Ave, Littleton, CO 80120-4507 | |
| (303) 334-1100 | |
| (817) 284-3425 |
| Full Name | Dr Glen David Kelley |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1001 W Mineral Ave, Littleton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679860019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 37410 (Colorado) | Primary |
| Entity Name | Healogics Specialty Physicians Of Colorado-professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114331006 PECOS PAC ID: 4183941834 Enrollment ID: O20150318000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glen David Kelley, MD Po Box 678504, Dallas, TX 75267-8504 Ph: (303) 349-0935 | Dr Glen David Kelley, MD 1001 W Mineral Ave, Littleton, CO 80120-4507 Ph: (303) 334-1100 |
Dr. Eric Michael Shoemaker, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7720 S Broadway Ste 310, Littleton, CO 80122 Phone: 303-584-5844 Fax: 303-256-9717 | |
Esther Yoon, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7780 S Broadway Ste 350, Littleton, CO 80122 Phone: 720-638-7500 Fax: 720-583-6770 | |
Brendan Joseph Polun, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1001 W Mineral Ave, Littleton, CO 80120 Phone: 719-457-6200 | |
Brian Alan Miller, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1001 W Mineral Ave, Littleton, CO 80120 Phone: 719-457-6200 Fax: 303-363-5142 | |
Jason Michael Peragine, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7780 S Broadway Ste 350, Littleton, CO 80122 Phone: 720-638-7500 Fax: 720-583-6770 | |
Kyleigh Rubow, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9279 Star Streak Cir, Littleton, CO 80125 Phone: 916-600-4949 | |
Ashley Nicole Maes, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5822 S Lowell Way, Littleton, CO 80123 Phone: 720-409-5605 |