Individual
DIANA N KEILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3655 E 104TH AVE, THORNTON, CO 80233-4469
(303) 254-8500
Mailing address
3655 E 104TH AVE, THORNTON, CO 80233-4469
(303) 254-8500
(303) 453-4994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2784
CO
Other
Enumeration date
06/18/2009
Last updated
02/28/2021
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