Peters, Kelly Ann

Peters, Kelly Ann is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy 312 , Lone Tree CO 80124-5525. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Peters, Kelly Ann can be contacted via phone (303) 788-8888.

Contact Information

Primary practice address
10103 Ridgegate Pkwy 312 Lone Tree CO 80124-5525
Phone: (303) 788-8888
Fax: (303) 790-2567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2166 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2166 Colorado

Profile Details

NPI number 1225091788
LBN Legal business name Peters, Kelly Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 28th, 2016 - about 9 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 1225091788 NPPES
Colorado MEDICAID 96585340

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