Doctor Name: | KARA A MCILWAINE |
NPI Number: | 1013047869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 130660 |
Business Practice Address: | 280 Exempla Cir Lafayette, CO - 800263370 |
Business Phone Number: | 7205367200 |
Business Fax Number: | |
Mailing Address: | 935 Corey St, LONGMONT |
State: | CO |
Postal Code: | 805014526 |
Phone Number: | 3036787632 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0200X |
License Number: | 130660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |