# KATRINA MARIE PACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144517947
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | DR.0056896 | CO | Yes |
| 2084N0400X | Neurology Physician | 04-45667 | KS | — |
| 2084N0400X | Neurology Physician | DR.0056896 | CO | — |
| 2084N0400X | Neurology Physician | MT200363 | PA | — |

## Other

- **Enumeration date:** 06/30/2011
- **Last updated:** 02/17/2022