Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Kelly

Individual provider Home Modifications Contractor · NPI 1407562507

Jack Kelly is a Home Modifications Contractor in Montrose, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

68084 Lasalle Rd
Montrose, CO 81401-7502
Phone: (720) 648-6040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X

Record details

NPI number1407562507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address68084 Lasalle Rd, Montrose, CO 81401-7502

Other providers in Montrose