MEDICARE: KRISTEN ROGERS PA-C

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	2802	TN
2	363A00000X	Physician Assistant	PA.0007175	CO

General Provider Information

NPI Number	:	1518343672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN ROGERS PA-C

Provider Business Mailing Address
First Line	:	1805 SHEA CENTER DR STE 450
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2255
Country	:	US
Telephone Number	:	303-357-2559
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 E BELLEVIEW AVE STE 202C
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2805
Country	:	US
Telephone Number	:	303-357-2551
Fax Number	:

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	06/15/2026

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Directions to “ KRISTEN ROGERS PA-C” Practice Location

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