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KELLY DEIDEL PA
NPI 1891836433
Physician Assistant - Medical in Centennial, CO

Active since February 08, 2007
9094 E MINERAL CIR, SUITE 100, CENTENNIAL, CO 80112(303) 694-3200(303) 694-2680 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Deidel Pa NPPES

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

KELLY DEIDEL PA (NPI 1891836433) is an individual medical provider in Centennial, Colorado, licensed in Colorado (2265) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1891836433
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY DEIDELCredential: PA
Location Address9094 E MINERAL CIR, SUITE 100Centennial, CO 80112-7200
Mailing Address9094 E Mineral Cir, Suite 100Centennial, CO 80112-7200 · (303) 694-3200 · Fax (303) 694-2680
Phone(303) 694-3200
Fax(303) 694-2680
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 7, 2017
✔ NPI 1891836433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 2265
9094 E MINERAL CIR, Centennial, CO 80112
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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.

LIESL G YOUNG MD
Pediatrics
9094 E MINERAL CIR, #120
CENTENNIAL, CO 80112
Arapahoe County (303) 779-5437
DR. MARTHA CRONIN MIDDLEMIST MD
Pediatrics
9094 E MINERAL CIR, SUITE 120
CENTENNIAL, CO 80112
Arapahoe County (303) 779-5437
SIMKO PEDIATRIC DENTISTRY OF COLORADO, PC
Dentist (Pediatric Dentistry)
9094 E MINERAL CIR
CENTENNIAL, CO 80112
Arapahoe County (303) 799-1872
DR. JULIE CHENG DECKERMAN M.D.
Pediatrics
9094 E MINERAL CIR, SUITE 120
CENTENNIAL, CO 80112
Arapahoe County (303) 779-5437
ANNE KOWALSKI MD
Pediatrics
9094 E MINERAL CIR, SUITE 100
CENTENNIAL, CO 80112
Arapahoe County (303) 694-3200
ELIZABETH HEWES
Physician Assistant
9094 E MINERAL CIR, SUITE 100
CENTENNIAL, CO 80112
Arapahoe County (303) 694-3200
MARY TUDOR SNEED KOP PA-C
Physician Assistant
9094 E MINERAL CIR, SUITE 120
CENTENNIAL, CO 80112
Arapahoe County (303) 779-5437
DR. KIRK GEORGE BOUZARELOS M.D.
Pediatrics
9094 E MINERAL CIR, SUITE 120
CENTENNIAL, CO 80112
Arapahoe County (303) 779-5437

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 Kelly Deidel's NPI number?

The NPI number for Kelly Deidel is 1891836433. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Kelly Deidel located?

Kelly Deidel practices at 9094 E Mineral Cir Suite 100, Centennial, CO 80112. The listed phone number is (303) 694-3200.

What is Kelly Deidel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kelly Deidel was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.