Individual
KATHRYN ANNE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN BC FNP
Contact information
Practice address
1625 MEDICAL CENTER PT STE 190, COLORADO SPRINGS, CO 80907-8721
(719) 955-6000
(719) 955-9595
Mailing address
1625 MEDICAL CENTER PT STE 190, COLORADO SPRINGS, CO 80907-8721
(719) 955-6000
(710) 955-9595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
52207
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07522041
—
CO
Enumeration date
10/21/2005
Last updated
11/11/2010
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