Organization
WENDY L KENNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KENNER PA-C (PRESIDENT)
(720) 255-2953
Entity
Organization
Contact information
Practice address
2551 W 84TH AVE, WESTMINSTER, CO 80031-3807
(720) 255-2953
Mailing address
PO BOX 1082, BERTHOUD, CO 80513-2082
(720) 255-2953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2199
CO
Other
Enumeration date
11/20/2014
Last updated
04/10/2015
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