Individual
KELLIE HASBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
363 CENTENNIAL PKWY STE 220, LOUISVILLE, CO 80027-1619
(888) 374-5066
(719) 623-0165
Mailing address
363 CENTENNIAL PKWY STE 220, LOUISVILLE, CO 80027-1619
(888) 374-5066
(719) 623-0165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0009235
CO
363AM0700X
Medical Physician Assistant
Primary
PA0009235
CO
Other
Enumeration date
07/09/2025
Last updated
06/29/2026
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