Individual
KARA N RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4743 ARAPAHOE AVE, SUITE 201, BOULDER, CO 80303-1113
(303) 442-2395
(303) 442-1073
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 442-2395
(303) 442-1073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002728
CO
363AM0700X
Medical Physician Assistant
PA.0002728
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55302556
—
CO
Enumeration date
08/13/2007
Last updated
11/10/2017
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