Kiley, Michael A
Kiley, Michael A is an individual health care provider with primary practice located at 4743 Arapahoe Ave Ste 202 , Boulder CO 80303-1128. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kiley, Michael A can be contacted via phone (303) 938-5700.Contact Information
Primary practice address
4743 Arapahoe Ave Ste 202
Boulder CO 80303-1128
Phone: (303) 938-5700
Fax: (303) 998-0007
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1403 | Colorado |
Profile Details
NPI number | 1144297136 |
---|---|
LBN Legal business name | Kiley, Michael A |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Feb 14th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144297136 | NPPES |
Colorado | MEDICAID | 77971353 |
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