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NPI Code Detail

MEDICARE: KATHRYN E. PIERCE MD

MEDICARE:   KATHRYN E. PIERCE  MD
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
1207Q00000XFamily Medicine Physician40158CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174506760
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN E. PIERCE MD
Provider Business Mailing Address
First Line : PO BOX 130
Second Line :
City : FRUITA
State : CO
Zip : 81521-0130
Country : US
Telephone Number : 970-858-9894
Fax Number : 970-858-1331
Provider Business Practice Location Address
First Line : 401 KOKOPELLI BLVD STE 1
Second Line :
City : FRUITA
State : CO
Zip : 81521-3308
Country : US
Telephone Number : 970-858-9894
Fax Number : 970-858-1331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 12/18/2025

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Directions to “ KATHRYN E. PIERCE MD” Practice Location

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