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NPI Code Detail

MEDICARE: KATE MARIE AVERETT PA-C

MEDICARE:   KATE MARIE AVERETT  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1013735125
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE MARIE AVERETT PA-C
Provider Business Mailing Address
First Line : 1475 PINE GROVE RD STE 102
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8851
Country : US
Telephone Number : 970-879-0203
Fax Number :
Provider Business Practice Location Address
First Line : 1475 PINE GROVE RD STE 102
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-8851
Country : US
Telephone Number : 907-879-0203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2024
Last Update Date : 02/28/2026

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Directions to “ KATE MARIE AVERETT PA-C” Practice Location

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