Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic |
NPI | 1164633731 |
---|---|
Provider Name | Katherine Kucera |
First Address | Colorado Springs, CO 80907-6262 |
Second Address | Colorado Springs, CO 80907-6262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 08/07/2007 |