Provider Demographics
NPI:1851773345
Name:FLORA, STEPHEN KYLE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:KYLE
Last Name:FLORA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:720-754-4410
Mailing Address - Fax:303-321-0344
Practice Address - Street 1:4700 HALE PKWY STE 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4041
Practice Address - Country:US
Practice Address - Phone:720-754-4410
Practice Address - Fax:303-321-0344
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2022-01-18
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Provider Licenses
StateLicense IDTaxonomies
COPA.0004323363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO530301YMCJMedicare PIN