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Individual

MR. MICHAEL A KILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007
Mailing address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1403
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77971353
CO
Enumeration date
03/08/2006
Last updated
02/14/2013
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