Provider Demographics
NPI:1326591496
Name:TURK, KELLY (MACJ)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:TURK
Suffix:
Gender:F
Credentials:MACJ
Other - Prefix:MS
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACJ
Mailing Address - Street 1:14231 E 4TH AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8720
Mailing Address - Country:US
Mailing Address - Phone:303-856-3485
Mailing Address - Fax:
Practice Address - Street 1:14231 E 4TH AVE STE 370
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8720
Practice Address - Country:US
Practice Address - Phone:303-856-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor