KELLY DEIDEL PA NPI 1891836433

NPI Information

NPI: 1891836433
Provider Name: KELLY DEIDEL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
9094 E MINERAL CIR
SUITE 100
CENTENNIAL, CO
ZIP 80112
Phone: (303) 694-3200
Get Directions

Kelly Deidel, PA is a medical physician assistant in Centennial, CO. Kelly Deidel, PA NPI is 1891836433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9094 E MINERAL CIR
SUITE 100
CENTENNIAL, CO
ZIP 80112-200
Phone: (303) 694-3200
Fax: (303) 694-2680

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2265	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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