Individual
KIRSTEN RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005953
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000178216
—
CO
Enumeration date
11/17/2014
Last updated
03/31/2020
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