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

Individual provider Physician Assistant · NPI 1679847560

Kelsey E Dougherty, PA, MMSC is a Physician Assistant in Aurora, Colorado. Works from 2 locations. Licensed in Colorado and Massachusetts.

Licensed in
CO, MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1635 Aurora Ct, Aurora, CO 80045-2541 — (720) 848-0192

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004227 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA4364 (MA)

Record details

NPI number1679847560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , MMSC
Sole proprietorNo
NPI enumeratedFebruary 24, 2012
Last updated in NPPESOctober 23, 2018
Mailing addressPo Box 110429, Aurora, CO 80042-0429

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