Individual
KATHLEEN FLARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
559 VINCENT ST, ATTN: 21 MDOS/SGOF-FAMILY PRACTICE, 302D/CC, COLORADO SPRINGS, CO 80914-1541
(719) 556-1133
(866) 867-7926
Mailing address
110 W. ENT AVE, ATTN: 21 MDOS/SGOF-FAM HLTH, 302D/CC, PETERSON AFB, CO 80914-1540
(719) 556-1133
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004200
WA
363LF0000X
Family Nurse Practitioner
NP10177
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151494
L&I
WA
05
—
9619982
—
WA
Enumeration date
07/13/2006
Last updated
04/02/2012
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