Individual
KATHY GAIL BRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 M8 RD, MACK, CO 81525
(970) 858-0867
Mailing address
1016 M8 RD, PO BOX 121, MACK, CO 81525
(970) 858-0867
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
186264
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186264
ARRT
—
Enumeration date
12/28/2007
Last updated
01/17/2008
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