Provider Demographics
NPI:1851356562
Name:MCKELVEY, SHARON M (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:M
Last Name:MCKELVEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:M
Other - Last Name:HANSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4900 S MONACO
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-584-8208
Mailing Address - Fax:303-831-6105
Practice Address - Street 1:1400 S POTOMAC ST
Practice Address - Street 2:STE 190
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4528
Practice Address - Country:US
Practice Address - Phone:720-979-0836
Practice Address - Fax:303-369-1919
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36222207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10436278Medicaid
CO10436278Medicaid
COC4522Medicare PIN
COH01808Medicare UPIN