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

Kelly Deidel, PA

Individual provider Medical Physician Assistant · NPI 1891836433

Kelly Deidel, PA is a Medical Physician Assistant in Centennial, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7200
Phone: (303) 694-3200
Fax: (303) 694-2680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2265 (CO)

Record details

NPI number1891836433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESAugust 7, 2017

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