Individual
KATIE D KIRJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7094
Mailing address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0203995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62234315
—
CO
Enumeration date
02/27/2013
Last updated
02/04/2015
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