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Individual

KELSIANN GOYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
559 VINCENT ST, PETERSON AFB, CO 80914-1541
(719) 556-7484
Mailing address
559 VINCENT ST BLDG 959, PETERSON AFB, CO 80914-1541

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/29/2016
Last updated
02/09/2024
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