Individual
KELLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1690 MEADE ST, DENVER, CO 80204-1552
(970) 391-4303
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-7000
(720) 718-0973
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
6900
AZ
363AS0400X
Surgical Physician Assistant
Primary
PA.0005485
CO
Other
Enumeration date
09/11/2017
Last updated
03/06/2026
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