Individual
KARA A MCILWAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7200
Mailing address
935 COREY ST, LONGMONT, CO 80501-4526
(303) 678-7632
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
130660
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017077
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/27/2007
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