Individual
MS. KYLIE P WEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
701 E HAMPDEN AVE STE 515, ENGLEWOOD, CO 80113-3880
(303) 209-2503
(303) 761-0803
Mailing address
701 E HAMPDEN AVE STE 515, ENGLEWOOD, CO 80113-3880
(303) 209-2503
(303) 761-0803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002156
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225176647
NPI NUMBER
—
05
—
19913575
—
CO
Enumeration date
02/01/2007
Last updated
09/03/2025
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