Healthcare Provider Details

I. General information

NPI: 1013824960
Provider Name (Legal Business Name): KATE WELLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 CENTRE AVE
FORT COLLINS CO
80526-1849
US

IV. Provider business mailing address

825 ORION ST
GOLDEN CO
80401-3804
US

V. Phone/Fax

Practice location:
  • Phone: 970-893-7600
  • Fax:
Mailing address:
  • Phone: 703-434-0861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: