Individual
KARI GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
(512) 586-0392
Mailing address
1718 POPLAR AVE, CANON CITY, CO 81212-5138
(401) 524-1482
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0025273
CO
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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