Individual
KIRK WERNER PROCHNIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 YOUNGFIELD ST, STE 150, GOLDEN, CO 80401-2263
(303) 238-4277
(303) 238-4977
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2474
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-2474
COLORADO LICENSURE
CO
Enumeration date
04/15/2008
Last updated
04/15/2026
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