Individual ProviderKelli KornSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10495 S Progress Way Unit 206, Parker, CO 80134-4032(720) 258-6518PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Korn is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1568754414Provider TypeIndividualFull NameKorn, KelliCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date5/11/2011Last Updated9/10/2018Contact InformationPractice LocationPractice Address10495 S Progress Way Unit 206, Parker, CO 80134-4032Phone(720) 258-6518Fax(866) 241-0588Mailing LocationMailing Address41479 Country Rose Cir, Parker, CO 80138-4569Phone(720) 258-6518Fax(866) 241-0588Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense09923289ColoradoCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense508ColoradoCode1041S0200XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense37501Colorado