Individual
KELSEY JAMES SCHUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3212
(720) 494-3118
(970) 237-8035
Mailing address
1850 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3212
(720) 494-3118
(970) 237-8035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007661
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000215149
—
CO
Enumeration date
10/27/2022
Last updated
09/22/2025
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