Provider Demographics
NPI:1750530275
Name:HILGERS, KELLY (MA)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:HILGERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 S QUINTERO WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4863
Mailing Address - Country:US
Mailing Address - Phone:303-338-0104
Mailing Address - Fax:
Practice Address - Street 1:1348 S QUINTERO WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4863
Practice Address - Country:US
Practice Address - Phone:303-338-0104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0325576D231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist