Individual
MS. KATHERINE ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3227
CO
Other
Enumeration date
01/18/2012
Last updated
07/27/2018
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