Individual
KATRINA MARIE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 EXEMPLA CIR, SUITE 230, LAFAYETTE, CO 80026-3397
(303) 689-6591
(303) 306-7753
Mailing address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-7511
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
DR.0056896
CO
2084N0400X
Neurology Physician
04-45667
KS
2084N0400X
Neurology Physician
DR.0056896
CO
2084N0400X
Neurology Physician
MT200363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0056896
COLORADO MEDICAL LICENSE
CO
Enumeration date
06/30/2011
Last updated
02/17/2022
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