Doctor Name: | KATHY ANN WESTOVER |
NPI Number: | 1356680771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 203017 |
Business Practice Address: | 112 W 5th St Leadville, CO - 804613510 |
Business Phone Number: | 7194862413 |
Business Fax Number: | 7194864179 |
Mailing Address: | 112 W 5th St, LEADVILLE |
State: | CO |
Postal Code: | 804613510 |
Phone Number: | 7194862413 |
Fax Number: | 7194864179 |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 203017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |