| Kelley Sheftall | |
|
2401 S Downing St Denver CO 80210-5811 | |
| (303) 472-4962 | |
| Not Available |
| Full Name | Kelley Sheftall |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2401 S Downing St, Denver, Colorado |
| Authorized Official Name and Position | Allison Kelley Sheftall (OWNER) |
| Authorized Official Contact | 3034724962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Sheftall 2401 S Downing St Denver CO 80210-5811 Ph: (303) 472-4962 | Kelley Sheftall 2401 S Downing St Denver CO 80210-5811 Ph: (303) 472-4962 |
| NPI Number | 1255015475 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255015475 | NPI | - | NPPES |
| 1255015475 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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