Hurley, Kristen M

Hurley, Kristen M is an individual health care provider with primary practice located at 405 W 15Th St , Pueblo CO 81003-2743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hurley, Kristen M can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
405 W 15Th St Pueblo CO 81003-2743
Phone: (719) 584-4306
Fax: (719) 595-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1220 Colorado

Profile Details

NPI number 1750315834
LBN Legal business name Hurley, Kristen M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 25th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750315834 NPPES
Colorado MEDICAID 54308763

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