Individual
MACKENNA LOUISE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
Mailing address
6901 W 27TH AVE, WHEAT RIDGE, CO 80033-8017
(303) 588-1047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007022
CO
Other
Enumeration date
10/13/2021
Last updated
03/26/2025
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