Individual
MRS. KATHRYN LONSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
6767 29TH ST FL 3, GREELEY, CO 80634-5474
(970) 652-2801
(970) 652-2827
Mailing address
2104 LOOP RD STE C, WINNSBORO, LA 71295-3341
(318) 435-6363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007545
CO
363A00000X
Physician Assistant
PA.200796
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0007545
STATE LICENSE
CO
01
—
PA.200796
LICENSE
LA
Enumeration date
03/03/2015
Last updated
11/04/2022
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