Provider Demographics
NPI:1386888956
Name:PAZDERNIK-HARMON, KARALYN J (PAC)
Entity type:Individual
Prefix:
First Name:KARALYN
Middle Name:J
Last Name:PAZDERNIK-HARMON
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 S HARRISON CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1931
Mailing Address - Country:US
Mailing Address - Phone:612-600-7018
Mailing Address - Fax:
Practice Address - Street 1:16100 E SMOKY HILL RD UNIT A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1753
Practice Address - Country:US
Practice Address - Phone:303-738-9043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0009067363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500631403Medicaid
ORR177427Medicare PIN