Individual
KATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 WADSWORTH BLVD, LAKEWOOD, CO 80226-1508
(720) 422-3011
Mailing address
441 WADSWORTH BLVD, LAKEWOOD, CO 80226-1508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15628
CO
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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