Individual
KAYLA MARCHESANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 LYCKMAN PL, FOUNTAIN, CO 80817-2861
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
53268
CA
363A00000X
Physician Assistant
PA 9109147
FL
363A00000X
Physician Assistant
Primary
PA.0004604
CO
Other
Enumeration date
03/25/2016
Last updated
05/05/2016
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