Individual
MR. KEVIN TROLENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
1800 15TH ST STE 100B, GREELEY, CO 80631-4595
(970) 810-5996
(970) 350-5997
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2409
(970) 490-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006509
CO
363AS0400X
Surgical Physician Assistant
MA053067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202316651
TAX ID
NJ
Enumeration date
09/21/2007
Last updated
07/10/2024
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