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Individual

DR. KATHERINE E HOEKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37417
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348308
MEDICARE GROUP NUMBER
CO
05
42725232
CO
01
74305263
MEDICAID GROUP NUMBER
CO
01
C810776
MEDICARE GROUP NUMBER
CO
01
DN2433
RR MEDICARE GROUP
CO
Enumeration date
10/24/2006
Last updated
10/01/2009
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