Individual
KELSEY RENEE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 MEDICAL CENTER PT STE 220, COLORADO SPRINGS, CO 80907-5798
(719) 364-5080
(719) 364-5081
Mailing address
1625 MEDICAL CENTER PT STE 220, COLORADO SPRINGS, CO 80907-5798
(719) 364-5080
(719) 364-5081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007270
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000204031
—
CO
Enumeration date
08/29/2019
Last updated
06/25/2026
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