Individual provider · Type 1 NPI

Kelsey E. Dougherty, PA, MMSC

Medical Physician Assistant · Aurora, CO

NPI number 1679847560 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 1635 Aurora Ct, Ms B-163, Aurora, CO 80045-2541 · (720) 848-0192

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA4364 (MA)
Medical Physician Assistant Primary 363AM0700XPA.0004227 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1679847560

Kelsey E. Dougherty, PA, MMSC's National Provider Identifier is 1679847560, issued on Feb 24, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 23, 2018.