Individual
DR. CATHY LYNN KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3434 47TH ST STE 200, BOULDER, CO 80301-1817
(303) 444-8100
(303) 444-8113
Mailing address
3434 47TH ST STE 200, BOULDER, CO 80301-1817
(303) 444-8100
(303) 444-8113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53663
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53663
MEDICAL LICENSE
CO
Enumeration date
07/13/2011
Last updated
02/17/2021
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