Kirsten Anne Revitte

NPI #1124636568 in Boulder, Colorado

Provider Information

NPI Number: 1124636568
Entity Type: Individual
Name: Kirsten Anne Revitte
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jul 22, 2020
Last Updated: Jul 5, 2021

Practice Location

Address: 3434 47TH ST STE 200
City: Boulder
State: Colorado
ZIP Code: 80301-1817
Phone: (303) 444-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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