Individual
MS. KELLY MICHELLE WETHERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2685 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1358
(719) 592-9890
(719) 264-7908
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005057
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
05/14/2026
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