Individual provider · Type 1 NPI

Charles Caleb Jennings, PA-C

Surgical Physician Assistant · Thornton, CO

NPI number 1558747246 Active

Practice location

9005 Grant St, Suite 200
Thornton, CO 80229-4300

Fax (303) 287-7357

Other practice locations

  • 5351 S Roslyn St Ste 200, Greenwood Village, CO 80111-2132 · (303) 679-2070

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.0004290 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1558747246

Charles Caleb Jennings, PA-C's National Provider Identifier is 1558747246, issued on Aug 4, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Thornton, CO. The record was last updated on Aug 31, 2023.