Provider Demographics
NPI:1205279577
Name:KELLY, POLINA ROVNER (MD)
Entity type:Individual
Prefix:DR
First Name:POLINA
Middle Name:ROVNER
Last Name:KELLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4600 E 9TH AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4069
Mailing Address - Country:US
Mailing Address - Phone:303-321-2166
Mailing Address - Fax:303-861-7211
Practice Address - Street 1:4600 E 9TH AVE STE 350
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4069
Practice Address - Country:US
Practice Address - Phone:303-321-2166
Practice Address - Fax:303-861-7211
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2024-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0058696207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology