Individual
KATIE A COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9224 TEDDY LN, SUITE 220, LONETREE, CO 80124-6798
(303) 790-1515
(303) 790-1989
Mailing address
9224 TEDDY LN, SUITE 200, LONETREE, CO 80124-6798
(303) 790-1515
(303) 790-1989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2556
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018362
GROUP MEDICAID
CO
01
—
109864100
GROUP MEDICAID
WY
01
—
1699895755
GROUP NPI
—
01
—
200293420 A
GROUP MEDICAID
OK
05
—
56529767
—
CO
01
—
84127410413
GROUP MEDICAID
NE
Enumeration date
01/24/2008
Last updated
11/28/2012
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