KELLY KNUPP


Address: 13123 E 16th Ave, Aurora, CO 80045-7106
Phone: 7207776895

KELLY KNUPP (NPI# 1902859242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902859242
Entity Type Individual
Full Name KELLY KNUPP
Credential MD
Practice Address 13123 E 16th Ave
Aurora
CO 80045-7106
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 7207776895
Practice Fax Number 7207777285
Mailing Telephone 3034937000
Enumeration Date 2006-05-18
Last Update Date 2013-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
44025 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 67830536 05

Other Providers KELLY KNUPP

NPI Name Taxonomy Address Enumeration
1982029039 Kelly Knupp Counselor 282 W Bowery St, Akron, OH 44307-2573 2014-02-26

Office Location

Street Address 13123 E 16TH AVE
City AURORA
State CO
Zip Code 80045-7106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890447 Cheryl Cavallaro Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2005-06-10
1730789157 Lauren S Henry Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-26
1801494620 Elan Webb Anesthesiologist Assistant 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-14
1821695388 Maria Clara Rios Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-07
1306453485 Ozlem Turan Student in an Organized Health Care Education/Training Program 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-23
1497361406 Chelsea Hartman Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-16
1407460447 Milena Teresa Hathaway Social Worker 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-08
1386258622 Ann Lantagne Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-03
1780295824 Jelena Brezo Medical Genetics 13123 E 16th Ave, Aurora, CO 80045-7106 2020-08-12
1154930808 Audrey Niemchick Student in an Organized Health Care Education/Training Program 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
Find all providers in zip 80045

Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396037412 Rebecca Linda Holt Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2011-05-08
1356426092 Timothy Benke Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2006-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295390284 Cynthia Viviana Soto Navarro Pediatrics 4500 E Cherry Creek South Dr Ste 710, Denver, CO 80246-1534 2019-05-05

Competitor

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City AURORA
Zip Code 80045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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