Kiessel, Amanda Grace

Kiessel, Amanda Grace is an individual health care provider with primary practice located at 2577 Main Ave , Durango CO 81301-5919. 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. Kiessel, Amanda Grace can be contacted via phone (970) 247-8382.

Contact Information

Primary practice address
2577 Main Ave Durango CO 81301-5919
Phone: (970) 247-8382
Fax: (970) 259-4403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2017-0102 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6501 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0005179 Colorado

Profile Details

NPI number 1669929063
LBN Legal business name Kiessel, Amanda Grace
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2016
Last updated Feb 23rd, 2022 - about 4 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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