Individual
KRISTIN BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-6000
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(720) 273-3336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006702
CO
363A00000X
Physician Assistant
PA7511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161190
—
MA
Enumeration date
03/05/2019
Last updated
05/11/2024
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