Individual
MS. KATHY ANN C CARROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7490 SUTHERLAND CR, FORT CARSON, CO 80913
(719) 526-7764
(719) 524-2258
Mailing address
970 PACIFIC HILLS PT, D204, COLORADO SPRINGS, CO 80906-8424
(719) 524-2205
(719) 524-2258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28104911A
IN
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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