Individual
ELIZABETH ANN KUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 N. BROADWAY ST, BOULDER, CO 80304-2241
(303) 449-6050
(303) 604-6243
Mailing address
1345 PLAZA COURT N., #1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
(303) 604-6243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41483553
—
CO
Enumeration date
05/16/2007
Last updated
03/07/2023
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