Kimen M Colgan, PA

Individual provider Surgical Physician Assistant · NPI 1699739227

Kimen M Colgan, PA is a Surgical Physician Assistant in Pismo Beach, California. Licensed in Arizona and Wisconsin. Registered with an NPI since 2006.

Licensed in: AZ, WI
In the registry since: 2006
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

575 Price St SUITE101
Pismo Beach, CA 93449-2553
Phone: (805) 481-3685
Fax: (805) 481-5245

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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 3531 (AZ)
Surgical Physician Assistant	Taxonomy 363AS0400X · Licence 1366 (WI)

Record details

NPI number	1699739227
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA
Sole proprietor	No
NPI enumerated	April 12, 2006
Last updated in NPPES	September 19, 2016