Dr. Kelly Joy Pettijohn
Plastic Surgeon (Head & Neck)
2045 N Franklin St
Denver
, Colorado 80205
Dr. Kelly Joy Pettijohn
Plastic Surgeon (Head & Neck)
2045 N Franklin St
Denver
, Colorado 80205
(303) 344-7715
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Kelly Joy Pettijohn
- 10350 E Dakota Ave
- Denver, CO
- Zip : 80247-1314
- Fax : (303) 344-7715
- Phone : (303) 338-4545
Second Address
- Dr. Kelly Joy Pettijohn
- 2045 N Franklin St
- Denver, CO
- Zip : 80205
- Fax : (303) 344-7715
- Phone : (303) 338-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | DR.0060683 | CO |
National Provider Identifier
| NPI | 1023451176 |
|---|---|
| Provider Name | Dr. Kelly Joy Pettijohn |
| First Address | Denver, CO 80247-1314 |
| Second Address | Denver, CO 80205 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2013 |
| Last Update Date | 29/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 028886 | KAISER COMMERCIAL NUMBER (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.