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NPI Code Detail

MEDICARE: KATHLEEN C BROWER DDS

MEDICARE:   KATHLEEN C BROWER  DDS
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
11223G0001XGeneral Practice Dentistry6700CO

General Provider Information

NPI Number : 1548375975
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN C BROWER DDS
Provider Business Mailing Address
First Line : 2130 S ACADEMY BLVD
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80916-2479
Country : US
Telephone Number : 719-380-5733
Fax Number : 719-380-5537
Provider Business Practice Location Address
First Line : 2130 S ACADEMY BLVD
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80916-2479
Country : US
Telephone Number : 719-380-5733
Fax Number : 719-380-5537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/08/2007

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Directions to “ KATHLEEN C BROWER DDS” Practice Location

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