Individual
NICOLE C KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4600 HALE PKWY, SUITE 100, DENVER, CO 80220-4020
(303) 320-5566
(303) 320-1453
Mailing address
4600 HALE PKWY, SUITE 100, DENVER, CO 80220-4020
(303) 320-5566
(303) 320-1453
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-3116
CO
Other
Enumeration date
01/25/2011
Last updated
10/17/2013
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