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NPI Code Detail

MEDICARE: KENNISHA AYERS PA-C

MEDICARE: KENNISHA AYERS 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
1363AS0400XSurgical Physician AssistantPA.0004835CO

General Provider Information

NPI Number : 1629520671
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNISHA AYERS PA-C
Provider Business Mailing Address
First Line : 950 E HARVARD AVE STE 550
Second Line :
City : DENVER
State : CO
Zip : 80210-7000
Country : US
Telephone Number : 303-765-6777
Fax Number : 720-543-1758
Provider Business Practice Location Address
First Line : 950 E HARVARD AVE STE 550
Second Line :
City : DENVER
State : CO
Zip : 80210-7000
Country : US
Telephone Number : 303-765-6777
Fax Number : 720-543-1758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2016
Last Update Date : 04/09/2026

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Directions to “ KENNISHA AYERS PA-C” Practice Location

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