Individual
MOWITA KENSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 E VALLEY RD UNIT 105, BASALT, CO 81621-8352
(970) 927-1717
Mailing address
101 PRENTICE TRL, EL JEBEL, CO 81623-9821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005966
CO
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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