Individual
LISA CHRISTINE KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 E 1ST AVE STE 102, BROOMFIELD, CO 80020-2454
(720) 798-0170
(303) 862-7102
Mailing address
1805 SHEA CENTER DR STE 450, HIGHLANDS RANCH, CO 80129-2255
(303) 357-2559
(303) 862-7102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3140
CO
363AM0700X
Medical Physician Assistant
PA2006 0041
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74428578
—
NM
Enumeration date
11/20/2006
Last updated
09/30/2024
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