NPI 1194377010 · live from the CMS NPI Registry
Kandace Andorka
Physician Assistant, Medical in Denver, CO. National Provider Identifier 1194377010, active.
NPI record
| NPI | 1194377010 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 3401 Quebec St, Denver, CO 80207 |
| Practice phone | 720-730-2523 |
| Mailing address | 3108 N York St, Denver, CO 80205 |
| Enumerated | July 11, 2019 |
| Last updated | May 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | PA.0005832 (CO) |
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.