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

Mrs. Kristen Beth McKernan, PT

Individual provider Physical Therapist · NPI 1417189630

Mrs. Kristen Beth McKernan, PT is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6234 Olde Stage Rd
Boulder, CO 80302-9498
Phone: (720) 545-6179
Fax: (866) 568-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11189 (CO)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 11189 (CO)

Record details

NPI number1417189630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 20, 2009
Last updated in NPPESOctober 29, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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