| Doctor Name: | KAITLIN AHERN |
| NPI Number: | 1013317965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 4007 |
| Business Practice Address: | 9197 Grant St Suite 100 Thornton, CO - 802294329 |
| Business Phone Number: | 3034503690 |
| Business Fax Number: | 3034503699 |
| Mailing Address: | 9197 Grant St, Suite 100 THORNTON |
| State: | CO |
| Postal Code: | 802294329 |
| Phone Number: | 3034503690 |
| Fax Number: | 3034503699 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 4007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |