Deidel, Kelly
Deidel, Kelly is an individual health care provider with primary practice located at 9094 E Mineral Cir Suite 100, Centennial CO 80112-7200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Deidel, Kelly can be contacted via phone (303) 694-3200.Contact Information
Primary practice address
9094 E Mineral Cir Suite 100
Centennial CO 80112-7200
Phone: (303) 694-3200
Fax: (303) 694-2680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2265 | Colorado |
Profile Details
| NPI number | 1891836433 |
|---|---|
| LBN Legal business name | Deidel, Kelly |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Aug 7th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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