Individual
KELLY FLEMING HILSENRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 17TH ST STE 400, DENVER, CO 80202-3901
(720) 577-5251
(303) 684-7440
Mailing address
555 17TH ST STE 400, DENVER, CO 80202-3901
(720) 577-5251
(303) 684-7440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005921
CO
363A00000X
Physician Assistant
PA9105541
FL
363AM0700X
Medical Physician Assistant
PA 9105541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002742900
—
FL
Enumeration date
09/02/2010
Last updated
04/29/2020
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