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KELLEY L REBERRY PAC
NPI 1710258579
Physician Assistant in Denver, CO

Active since January 25, 2012
125 RAMPART WAY, SUITE 100, DENVER, CO 80230(720) 858-7600(720) 858-7610 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2019, Sep 23, 2016 (2 updates tracked since 2016).

About Kelley L Reberry Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY L REBERRY PAC (NPI 1710258579) is an individual physician assistant in Denver, Colorado, licensed in Colorado (3760) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1710258579
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEY L REBERRYCredential: PAC
Location Address125 RAMPART WAY, SUITE 100Denver, CO 80230-6429
Mailing Address125 Rampart Way, Suite 100Denver, CO 80230-6429 · (720) 858-7600 · Fax (720) 858-7610
Phone(720) 858-7600
Fax(720) 858-7610
Sole ProprietorNo
Enumeration DateJanuary 25, 2012
Last NPPES UpdateJanuary 16, 20192 updates tracked since enumeration
✔ NPI 1710258579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · 3760✔ Licensed in OK · 2111
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
125 RAMPART WAY, Denver, CO 80230
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARLEEN ARORA MD
Dermatology
125 RAMPART WAY
DENVER, CO 80230
Denver County (303) 261-1525
DR. KATHERINE SHUANG-CHYUANG TSAI M.D.
Internal Medicine
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7434
COLORADO ALLERGY AND ASTHMA CENTERS, PC
Specialist
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7434
JOHN M JAMES MD
Specialist
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7600
DR. GRANT C OLSON MD
Specialist
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7600
NICOLE R RAE P.A.C.
Specialist
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7434
DR. JOANNA Z. LEVIN D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
125 RAMPART WAY, SUITE 301
DENVER, CO 80230
Denver County (303) 366-9090
MARK A EBADI MD
Specialist
125 RAMPART WAY, SUITE 200
DENVER, CO 80230
Denver County (720) 858-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Reberry's NPI number?

The NPI number for Kelley Reberry is 1710258579. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Kelley Reberry located?

Kelley Reberry practices at 125 Rampart Way Suite 100, Denver, CO 80230. The listed phone number is (720) 858-7600.

What is Kelley Reberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelley Reberry was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.