Healthcare Provider Details

I. General information

NPI: 1831161157
Provider Name (Legal Business Name): KATHERINE A COERVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5975 S QUEBEC ST STE 150
CENTENNIAL CO
80111-4554
US

IV. Provider business mailing address

5975 S QUEBEC ST STE 150
CENTENNIAL CO
80111-4554
US

V. Phone/Fax

Practice location:
  • Phone: 303-790-8899
  • Fax: 303-790-2810
Mailing address:
  • Phone: 303-790-8899
  • Fax: 303-790-2810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberDR0055149
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0062115
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: