| Doctor Name: | KRISTEN EWY |
| NPI Number: | 1003896689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 15-00495 |
| Business Practice Address: | 2600 N Woodlawn St Wichita, KS - 672202729 |
| Business Phone Number: | 3162601690 |
| Business Fax Number: | 3162601691 |
| Mailing Address: | 4900 S Monaco St, Suite 210 DENVER |
| State: | CO |
| Postal Code: | 802373486 |
| Phone Number: | 3162601690 |
| Fax Number: | 3162601691 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 09/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 15-00495 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |