Provider Demographics
NPI:1245673318
Name:APPLEBY, KELSEY YVONNE (DDS)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:YVONNE
Last Name:APPLEBY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 N OGDEN ST
Mailing Address - Street 2:APT 1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1928
Mailing Address - Country:US
Mailing Address - Phone:720-201-7957
Mailing Address - Fax:
Practice Address - Street 1:2709 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6601
Practice Address - Country:US
Practice Address - Phone:720-201-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN00202219122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist