Individual
KELLIE HASBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2919 VALMONT RD STE 204, BOULDER, CO 80301-1350
(720) 249-4456
(303) 938-1145
Mailing address
2919 VALMONT RD STE 204, BOULDER, CO 80301-1350
(720) 249-4456
(303) 938-1145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0009235
CO
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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