Provider Demographics
NPI:1215601919
Name:KENNEY, MELISSA (PA-C)
Entity Type:Individual
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First Name:MELISSA
Middle Name:
Last Name:KENNEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9094 E MINERAL CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-7201
Mailing Address - Country:US
Mailing Address - Phone:303-694-3200
Mailing Address - Fax:303-694-2680
Practice Address - Street 1:16830 NORTHGATE DR UNIT 150
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5778
Practice Address - Country:US
Practice Address - Phone:303-805-7879
Practice Address - Fax:303-805-8076
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-10-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant