Individual
MR. GUY MICHAEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
207RG0100X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027281
KAISER COMMERCIAL NUMBER
CO
05
—
30559715
—
CO
Enumeration date
11/14/2006
Last updated
05/07/2021
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