Basic Information
| Provider Information | |||||||||
| NPI: | 1104151224 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAY | ||||||||
| FirstName: | ERYNN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | P.A.-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10099 RIDGEGATE PKWY STE 410 | ||||||||
| Address2: | |||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801245536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037302229 | ||||||||
| FaxNumber: | 3037303105 | ||||||||
| Practice Location | |||||||||
| Address1: | 10099 RIDGEGATE PKWY STE 410 | ||||||||
| Address2: | |||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801245536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037302229 | ||||||||
| FaxNumber: | 3037303105 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2009 | ||||||||
| LastUpdateDate: | 03/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 3645 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.