Individual
KATRINA MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8305
(720) 718-0955
Mailing address
1849 CHEYENNE CT, LAFAYETTE, CO 80026-9235
(303) 669-6484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1976
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09383751
—
CO
Enumeration date
05/23/2007
Last updated
05/07/2025
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