Healthcare Provider Details

I. General information

NPI: 1699701128
Provider Name (Legal Business Name): KATHLEEN ANN FEINSINGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 20TH STE 201
GLENWOOD SPGS CO
81601
US

IV. Provider business mailing address

3988 CRYSTAL BRIDGE DR
CARBONDALE CO
81623
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-8631
  • Fax: 970-928-8779
Mailing address:
  • Phone: 970-963-8428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number39119
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: