Individual
KATHERINE ELIZABETH LOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10081 WADSWORTH PKWY STE 200, WESTMINSTER, CO 80021-3827
(303) 431-5409
Mailing address
9060 WADSWORTH BLVD APT 218, WESTMINSTER, CO 80021-4928
(913) 961-1805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007235
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0007235
PHYSICIAN ASSISTANT LICENSE-COLORADO MEDICAL BOARD
CO
Enumeration date
02/16/2022
Last updated
09/28/2022
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