Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley L Reberry, PAC

Individual provider Physician Assistant · NPI 1710258579

Kelley L Reberry, PAC is a Physician Assistant in Denver, Colorado. Licensed in Colorado and Oklahoma. Registered with an NPI since 2012.

Licensed in
CO, OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

125 Rampart Way Ste 100
Denver, CO 80230-6429
Phone: (720) 858-7600
Fax: (720) 858-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3760 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2111 (OK)

Record details

NPI number1710258579
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 25, 2012
Last updated in NPPESJanuary 16, 2019

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