Provider Demographics
NPI:1134716384
Name:FAY, EMILY KATE (PA-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATE
Last Name:FAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2055 N HIGH ST STE 340
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5545
Mailing Address - Country:US
Mailing Address - Phone:303-832-2344
Mailing Address - Fax:303-832-3721
Practice Address - Street 1:2055 N HIGH ST STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5545
Practice Address - Country:US
Practice Address - Phone:303-832-2344
Practice Address - Fax:303-832-3721
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA.006704363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant