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Individual

KATHERINE ANN HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
255 UNION BLVD, SUITE 200, LAKEWOOD, CO 80228-1810
(303) 763-5111
Mailing address
14026 PARK COVE DR, BROOMFIELD, CO 80023-6596
(303) 465-5774

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
79415
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
79415
CO

Other

Enumeration date
07/23/2008
Last updated
07/23/2008
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