Individual provider · Type 1 NPI

Kelly Deidel, PA

Medical Physician Assistant · Centennial, CO

NPI number 1891836433 Active

Practice location

9094 E Mineral Cir, Suite 100
Centennial, CO 80112-7200

Call (303) 694-3200 Map

Fax (303) 694-2680

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2265 (CO)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1891836433

Kelly Deidel, PA's National Provider Identifier is 1891836433, issued on Feb 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Centennial, CO. The record was last updated on Aug 7, 2017.