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NPI Code Detail

MEDICARE: KATHRYN ELIZABETH HUNDERTMARK MA

MEDICARE: KATHRYN ELIZABETH HUNDERTMARK MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033233846
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ELIZABETH HUNDERTMARK MA
Provider Business Mailing Address
First Line : PO BOX 223
Second Line :
City : NEW CASTLE
State : CO
Zip : 81647-0223
Country : US
Telephone Number : 970-987-0329
Fax Number :
Provider Business Practice Location Address
First Line : 501 AIRPORT RD
Second Line :
City : RIFLE
State : CO
Zip : 81650-8510
Country : US
Telephone Number : 970-625-1510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 04/08/2026

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