Most Relevant Information
Provider Data
| NPI Number: | 1003353178 |
| Provider Name: | KIRSTEN DEROODE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA0004908 |
Most Important Dates
| Enumeration Date: | 01/26/2017 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
12230 LIONESS WAY
PARKER
CO
801345603
Practice Location Phone/Fax
| Phone: | 7206449355 |
| Fax: |
Provider Mailing Location
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE
CO
801123648
Provider Mailing Phone/Fax
| Phone: | 7206449355 |
| Fax: |