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Dr. Kelly Joy Pettijohn, MD
Student in an Organized Health Care Education/Training Program in Denver, Colorado
NPI 1023451176

Kelly Joy Pettijohn is a Student in an Organized Health Care Education/Training Program based in Denver, CO. Kelly Joy Pettijohn practices in Denver, CO and has the professional credentials of MD. The NPI Number for Kelly Joy Pettijohn is 1023451176 and holds a License No. DR.0060683 (Colorado).

The current practice location address for Kelly Joy Pettijohn is 2045 N Franklin St, Denver, CO and can be reached out via phone at 303-338-4545 and via fax at 303-344-7715.

Location: 2045 N Franklin St, Denver, CO, 80247-1314
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Provider Profile Details
NPI Number
1023451176
Provider Name
Kelly Joy Pettijohn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2045 N Franklin St, Denver, CO, 80247-1314
Phone Number
303-338-4545
Fax Number
303-344-7715
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028886 01 CO KAISER COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2045 N Franklin St
City
State
Zip
80205
Phone Number
303-338-4545
Fax Number
303-344-7715
person
Provider Business Mailing Address Details
Address
2045 N Franklin St
City
State
Zip
80205
Phone Number
303-338-4545
Fax Number
303-344-7715
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
(Colorado)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
DR.0060683 (Colorado)
Definition
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.
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