Provider Demographics
NPI:1013317965
Name:EHRLICH, KAITLIN (PA)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:
Other - Last Name:AHERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9197 GRANT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4329
Mailing Address - Country:US
Mailing Address - Phone:303-450-3690
Mailing Address - Fax:303-450-3699
Practice Address - Street 1:9197 GRANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4329
Practice Address - Country:US
Practice Address - Phone:303-450-3690
Practice Address - Fax:303-450-3699
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4007363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical