Individual
KEVIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16677 LOWELL BLVD STE 200, BROOMFIELD, CO 80023-8053
(303) 604-5000
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058420
PA
363A00000X
Physician Assistant
Primary
PA.0006467
CO
Other
Enumeration date
10/24/2016
Last updated
05/04/2026
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