Provider Demographics
NPI:1255907382
Name:ARLING, ADRIEN KIT (PA-C)
Entity type:Individual
Prefix:
First Name:ADRIEN
Middle Name:KIT
Last Name:ARLING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ADRIEN
Other - Middle Name:KIT
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1801 16TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-5154
Mailing Address - Country:US
Mailing Address - Phone:970-810-3894
Mailing Address - Fax:
Practice Address - Street 1:1801 16TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-5154
Practice Address - Country:US
Practice Address - Phone:970-810-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-30
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0007366363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical