Individual
KELLY L BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10680 DEL MAR PKWY, AURORA, CO 80010-4011
(303) 360-6276
(303) 789-7222
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-1977
(303) 343-0247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017313
NY
363A00000X
Physician Assistant
Primary
PA.0004434
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017313
LICENSE
NY
05
—
9000192105
—
CO
Enumeration date
01/16/2014
Last updated
10/16/2023
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