Individual
KAITLYN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0007228
CO
Other
Enumeration date
02/15/2022
Last updated
02/21/2025
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