Individual
KALIE M VONFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1339
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62230727
—
CO
Enumeration date
11/13/2006
Last updated
11/12/2020
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