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NPI Code Detail

MEDICARE: KELSEY M PIERSON PA

MEDICARE: KELSEY M PIERSON 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
1363A00000XPhysician Assistant0110004621VA

General Provider Information

NPI Number : 1265840284
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY M PIERSON PA
Provider Business Mailing Address
First Line : 27478 BRANDON CIR
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8414
Country : US
Telephone Number : 709-846-7311
Fax Number :
Provider Business Practice Location Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number : 540-722-4514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 04/01/2024

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Directions to “ KELSEY M PIERSON PA” Practice Location

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