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

Kyle Poulsen, PA

Individual provider Medical Physician Assistant · NPI 1366814436

Kyle Poulsen, PA is a Physician Assistant in Aurora, Colorado. Qualified in 2015, 11 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
11
Licensed in
CO, TX
In the registry since
2015
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)

  • 1504 Taub Loop, Houston, TX 77030-1608 — (713) 873-8555

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0006744 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10096 (TX)

Record details

NPI number1366814436
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 28, 2015
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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