Provider Demographics
NPI:1659923001
Name:MCDONALD, KAITLYN LITTLEFIELD (PA-C)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:LITTLEFIELD
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 172328
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-2328
Mailing Address - Country:US
Mailing Address - Phone:800-962-3303
Mailing Address - Fax:305-929-0777
Practice Address - Street 1:901 W HAMPDEN AVE UNIT 103
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-7330
Practice Address - Country:US
Practice Address - Phone:303-761-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2023-05-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant