Individual provider · Type 1 NPI
Kelli Eisenbrown
Medical Physician Assistant · Castle Rock, CO
NPI number
1770910317
Active
Practice location
4535 Milestone Ln Ste B-C
Castle Rock, CO 80104-7918
Fax (877) 647-0202
Mailing address
9094 E Mineral Cir, Suite 100
Centennial, CO 80112-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 00003801 (CO) |
| Medical Physician Assistant | 363AM0700X | AP144213 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1770910317
Kelli Eisenbrown's National Provider Identifier is 1770910317, issued on Sep 27, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Castle Rock, CO. The record was last updated on Nov 13, 2023.