Amanda Grace Kiessel, PA-C
Physician Assistant · Durango, CO
Practice location
2577 Main AveDurango, CO 81301-5919
- Phone
- (970) 247-8382
- Fax
- (970) 259-4403
NPI record
- NPI
- 1669929063
- Entity type
- Individual (Type 1)
- Enumeration date
- September 2, 2016
- Last updated
- February 23, 2022
- Certified
- February 23, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA.0005179 | CO |
| Physician Assistant | 363A00000X |
PA2017-0102 | NM |
| Physician Assistant | 363A00000X |
6501 | AZ |
Other practice locations (2)
- 1010 Three Springs Blvd, Durango, CO 81301-8296 · (970) 247-4300
- 604 S Rio Grande Ave, Aztec, NM 87410-2260 · (505) 334-2664
About Amanda Kiessel
Amanda Grace Kiessel, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2577 Main Ave, Durango, CO 81301-5919. The NPI number 1669929063 was assigned on September 2, 2016 and the record was last updated on February 23, 2022.
Amanda Kiessel lists 3 licenses in the registry: #PA.0005179 (CO) for Physician Assistant; #PA2017-0102 (NM) for Physician Assistant; #6501 (AZ) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Grace Kiessel, PA-C?
The NPI number is 1669929063.
What is the phone number of Amanda Kiessel?
The phone number listed for the practice location is (970) 247-8382.
Where is Amanda Kiessel located?
2577 Main Ave, Durango, CO 81301-5919.
What is the taxonomy code for Amanda Kiessel?
The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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