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Individual

KATHRYN WICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2315 E HARMONY RD STE 160, FORT COLLINS, CO 80528-8620
(970) 493-8800
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006056
CO

Other

Enumeration date
01/20/2020
Last updated
05/11/2020
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