Individual provider · Type 1 NPI

Alexis Mackenzie Keyworth, PA-C

Surgical Physician Assistant · Aurora, CO

NPI number 1487975116 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0004446 (CO)
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XPA.0004446 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1487975116

Alexis Mackenzie Keyworth, PA-C's National Provider Identifier is 1487975116, issued on Jun 16, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Oct 22, 2018.