Individual
KAITLIN FOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6545 GUNPARK DR STE 250, BOULDER, CO 80301-3350
(303) 530-1973
Mailing address
6545 GUNPARK DR STE 250, BOULDER, CO 80301-3350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003721
CO
Other
Enumeration date
06/25/2021
Last updated
10/17/2024
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