| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY MORGENSTEIN | 1912921487 | 2024-07-05 |
Kelly E Morgenstein [F] graduated in 2000 and primarily specializes in Physician Assistant.
Kelly Morgenstein is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912921487. Registration indicates Kelly Morgenstein is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 6608168240 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Kelly Morgenstein PAC |
| Practice Office Address | 4820 RIVERBEND RD STE 100 BOULDER, CO US |
| Practice Office Telephone | 3034155399 |
| Practice Office Fax | 3032975808 |
| Mailing Address | PO BOX 9049 BOULDER, CO 803019049 US |
| Business Telephone | 3034155399 |
| Business Fax | 3032975808 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1100 Lake Hearn Dr Ste 450 | Atlanta, GA 30342 | 4042527339 / 4042570337 |
| 1000 W South Boulder Rd Ste 216B | Lafayette, CO 800262089 | 3034155399 / 3032975808 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 3643
GA |
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA.0004936
CO |