Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 1627 | SC |
Y | 2081P2900X | Pain Medicine | DR.0056858 | CO |
NPI | 1093919235 |
---|---|
Provider Name | Katarzyna Zofia Kocol |
First Address | Denver, CO 80291-1244 |
Second Address | Castle Rock, CO 80109-8034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 07/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016271 | (05) | SC |
68910541 | (05) | CO |