Doctor Name: | MS. KATHRYN M WHITFIELD |
NPI Number: | 1609841246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1137 |
Business Practice Address: | 1650 Cochrane Cir Building 7500 Ft Carson, CO - 809134613 |
Business Phone Number: | 7195267000 |
Business Fax Number: | |
Mailing Address: | 7502 Waterside Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809259572 |
Phone Number: | 7199308388 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |