Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5598 | CO |
NPI | 1003970880 |
---|---|
Provider Name | Kathleen Field |
First Address | Colorado Springs, CO 80923-3500 |
Second Address | Colorado Springs, CO 80923-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 03/10/2011 |