Individual
KELSEY J NINOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7030 S YOSEMITE ST, CENTENNIAL, CO 80112-2026
(303) 721-9984
(909) 267-7304
Mailing address
7030 S YOSEMITE ST, CENTENNIAL, CO 80112-2026
(303) 721-9984
(303) 267-7304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3120
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01099664
RAILROAD MEDICARE PTAN
CO
Enumeration date
12/08/2010
Last updated
05/04/2016
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