Individual
KRISTINE M HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
(970) 495-7425
Mailing address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
(970) 495-7425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2573
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30751748
—
CO
Enumeration date
02/22/2008
Last updated
01/09/2017
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