IndividualActive
Kelly Pettijohn, M.D.
NPI 1023451176 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Denver, CO
Provider details
- NPI number
- 1023451176
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- DR.0060683 (CO)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense DR.0060683 (CO)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2045 N Franklin St
Denver, CO 80205
Phone: (303) 338-4545
Fax: (303) 344-7715
Approximate (ZIP-level) locationGet directions
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.