Individual provider · Type 1 NPI

Ellen Kingdom, PA-C

Physician Assistant · Loveland, CO

NPI number 1508480542 Active

Practice location

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

Call (970) 624-2510 Map

Fax (970) 624-2511

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0006279 (CO)
Physician Assistant 363A00000XPT909 (WY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508480542

Ellen Kingdom, PA-C's National Provider Identifier is 1508480542, issued on Jun 5, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Loveland, CO. The record was last updated on Oct 11, 2026.