Individual
CATHERINE A KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4567 E 9TH AVE, DENVER, CO 80220-3908
(303) 320-2455
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004101
CO
363AM0700X
Medical Physician Assistant
PA.0004101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18070035
—
CO
Enumeration date
08/20/2014
Last updated
05/13/2015
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