Individual
KATHERYN LYNN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 S DOWNING ST, DENVER, CO 80209-4435
(231) 409-0166
Mailing address
819 S DOWNING ST, DENVER, CO 80209-4435
(231) 409-0166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702177
—
CO
Enumeration date
10/29/2014
Last updated
10/29/2014
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