Individual
ERNESTINE MALABANAN KEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA-C
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007713
CO
363AM0700X
Medical Physician Assistant
25MP00311400
NJ
Other
Enumeration date
08/06/2013
Last updated
01/17/2023
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