Healthcare Provider Details

I. General information

NPI: 1558753111
Provider Name (Legal Business Name): CATHERINE MAY BRIGHT KOCH AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 SANGRE DE CRISTO RD STE. 202
LITTLETON CO
80127-6425
US

IV. Provider business mailing address

3456 W 97TH AVE UNIT 69
WESTMINSTER CO
80031-3262
US

V. Phone/Fax

Practice location:
  • Phone: 303-502-9720
  • Fax:
Mailing address:
  • Phone: 956-458-2086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.0000746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: