MEDICARE: KENDRA POARCH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	7111	CO

General Provider Information

NPI Number	:	1013668607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA POARCH PA

Provider Business Mailing Address
First Line	:	3177 S ROCKFORD DR
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-2128
Country	:	US
Telephone Number	:	918-346-7762
Fax Number	:

Provider Business Practice Location Address
First Line	:	9137 RIDGELINE BLVD STE 145
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2393
Country	:	US
Telephone Number	:	303-800-6093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	09/16/2025

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Directions to “ KENDRA POARCH PA” Practice Location

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