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Form Medical, Pllc

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Denver, CO · enumerated 2017 · authorized official Jessica Kelner, Physician/Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831616390

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Registry record

Entity type Organization (Type 2)
Legal business name Form Medical, Pllc
Other name <Unavail>
Practice address 1525 Raleigh St Ste 220, Denver, CO, 80204
Phone (720) 370-9559
Enumeration date Aug 25, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

2081N0008X Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License DR.0058123 (CO) Primary

Authorized official

Name Jessica Kelner
Title Physician/Manager
Phone (720) 370-9559

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Form Medical, Pllc?
The NPI for Form Medical, Pllc is 1831616390, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Form Medical, Pllc?
NPPES lists Jessica Kelner (Physician/Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.