Provider Demographics
NPI:1659923001
Name:LUDWIG, KAITLYN MCDONALD (PA-C)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:MCDONALD
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:LITTLEFIELD
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5102 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-6706
Mailing Address - Country:US
Mailing Address - Phone:720-457-9100
Mailing Address - Fax:720-457-9333
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:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant