Healthcare Provider Details

I. General information

NPI: 1174268213
Provider Name (Legal Business Name): KATIE LEIGH KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 SEWELL AVE
COLBY KS
67701-2321
US

IV. Provider business mailing address

1730 SEWELL AVE
COLBY KS
67701
US

V. Phone/Fax

Practice location:
  • Phone: 719-342-9387
  • Fax:
Mailing address:
  • Phone: 719-342-9387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0018127
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: